Only complete this if I am training your dog without you present: I will make every effort to contact you inany emergency situation involving your pet before I seek care by a licensed veterinarian. This authorization gives Traci Madson authority to act on my behalf in the event that my dog requires medical attention.

I, the owner, authorize a licensed veterinarian, and their assistants, to administer treatment and perform procedures as are considered therapeutically and diagnostically necessary for the care of my animal, including administration of anesthesia. In the event that emergency treatment is required, I authorize the veterinary staff and their assistants to perform medical and surgical treatments necessary to preserve the life of my dog until I can be contacted for further approval.

I accept full financial responsibility for the treatment my animal receives from a licensed veterinarian and their staff.

I hereby release Traci Madson, Three Little Pits Pawsitive Dog Training LLC, Fetch LLC from any and all claims from any emergency situation.