Spay Release Form

I, the undersigned, do hereby certify that I am the owner (duly authorized agent for the owner) of the animal described above. I do hereby give Dr. Evelyn Tom, Singing Hills Animal Hospital, Inc., their agents, servants and/or representatives full and complete authority to perform the surgery or diagnostic procedure known as Ovariohysterectomy. I authorize additional procedures that, at their discretion, may be advisable and useful to promote/protect the health of the above described pet. I do hereby forever release Dr. Evelyn Tom, Singing Hills Animal Hospital, Inc., their agents, servants and/or representatives from any and all liability arising from said surgery or procedure on said animal.