Guardian Angel Program Enrollment Form
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1Guardian Angel Program Enrollment Form
Fill out a separate enrollment form for each of your pets and send them to the executor of your will, your attorney, your pet
guardians, SpokAnimal, and any family or friends who can help ensure your wishes are carried out. Keep copies for yourself with
your important papers. You can download additional forms at
Your name:_____________________________ Phone: ________________ Email:_______________________________
Address:_________________________________ City:_________________________ State:________ Zip:__________
In the event of my death or incapacitation, I have made arrangements with the following guardian (and/or SpokAnimal) to care for my
pets. Please contact them at once, as my pet(s) will need to be cared for immediately.
Your signature:___________________________________
Date signed:________________________________
Please inform the person who has agreed to be my pet's (check one):
life-long guardian
temporary guardian
Name:____________________________ Phone: _____________________ Email:_______________________________
Address:_________________________________ City:_________________________ State:________ Zip:___________
I would like to enroll in SpokAnimal's Guardian Angel Program. In the event of my illness or death, please
inform SpokAnimal to (check one):
Accept guardianship of my pet(s)
Work with the temporary guardian to help place my pet(s)
The Executor of your will
Name:____________________________ Phone: _____________________ Email:_______________________________
Address:_________________________________ City:_________________________ State:________ Zip:___________
Pet Identification
Pet's name:______________________ Type of animal:____________ Breed:__________________ Sex:
F
M
Age:_________ Spayed/neutered:
yes
no Microchip #:_______________________ Tattoo:
yes
no
This is my only pet.
This pet is one of ___ pets in my family. (Please complete a Pet Profile for each animal.)
If you have multiple animals, which ones are closely bonded together and which could be adopted into separate homes?
______________________________________________________________________________________________________________________
I understand that if my pet has painful/untreatable medical
or behavioral problems, is extremely feeble or has severe anxiety
it may be extremely difficult to find a willing caretaker and/or
inhumane to make my pet endure the physical and psychological
stress/trauma of transitioning to a new home. I do not object to
humane euthanasia if it is in the best interest of my animal.
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