I certify that I am the owner or legal representative of the above-named pet companion and authorize Petrichor Aquamation to perform aquamation services. I understand the fees for services and memorial items and agree to pay them. I certify that the information provided is true and accurate, release and hold harmless Petrichor Aquamation from liability resulting from reliance on this information, and agree that Petrichor Aquamation's liability for any negligent acts is limited to a refund of the aquamation fees paid.