I have read and I understand the considerations on the previous page, and I hereby authorize, and appoint as my agent in my place and stead, the persons named above, to make any and all decisions regarding the care and treatment of my pet(s), including but not limited to, approving medical recommendations, authorizing diagnostics, procedures, hospitalization, surgery, euthanasia and/or body care. My emergency contacts shall have the full power and authority that I would have to
make such decisions, including the right to incur financial charges for my pet's treatment. I agree that Four Seasons may accept the decisions and instructions of any one my emergency contacts as if I was present and making the decisions myself.
I have discussed with my emergency contacts the payment requirements as explained above, and I have arranged with my emergency contacts payment details as necessary.
I may revoke or suspend my emergency contacts' authority at any time, either permanently or temporarily. If I relay this verbally on the phone, two Four Seasons representatives confirm this change. However, until I do so, my emergency contacts shall have the full right and authority as described herein.