Cremation Consent Form (Equine)
How to Submit Your Equine Cremation Form
Fill out the form below with your information and service selections
Click the "Download as PDF" button at the bottom of the form
Email the completed PDF to
pw.cremation@outlook.com
or text it to Bethany at
507-920-0726
We will review your request and contact you shortly to confirm your service details.
Owner Information
DATE:
FULL NAME:
ADDRESS:
PHONE #:
CITY:
STATE:
ZIP:
EQUINE ADDRESS:
CITY:
STATE:
ZIP:
Equine Information
PET NAME:
SEX:
MALE
FEMALE
BREED:
WEIGHT:
VET CLINIC:
Hoof Print
CLAY HOOF PRINT $75
NO THANK YOU
Cremation Options
GENERAL CREMATION
(no remains returned to you)
PRIVATE CREMATION
+ VELVET BAG (no additional fee)
+ FULL SIZE WOOD URN + $275
Color:
Oak
Walnut
This urn includes an engraved plate, and photo frame. Required to fill out second sheet
+ KEEPSAKE WOODEN URN - (Holds up to 250lbs live weight) + $60
*Engraved plate available on this product is $30. Required to fill out back of form
+ KEEPSAKE GOLD HORSE (up to 120lbs live weight) + $200
Color:
Gold
Copper
This urn includes a base and engraved plate. Required to fill out back of form
Delivery Method
Pick up remains at our location
Shipped directly to your door $75
I
hereby state I am the owner, or authorized agent of the owner, of the above mentioned and described animal. I hereby give consent to Prairie Wind to cremate the remains of my pet. Any bedding/blankets/collars or similar items or materials left with pet will be disposed of or cremated. I will come back to pick up my pet's ashes in a timely manner. If I do not come back for over 2 months, I allow Prairie Wind to scatter my pet's cremains, and hold them harmless of any and all claims to the remains. I understand Prairie Wind has the right to refuse services for any reason.
PAYMENT IN FULL, IS DUE PRIOR OF CREMATION PROCESS.
We accept checks, cash, and card (+ interest fee)
SIGNATURE:
DATE:
ENGRAVING FOR ENGRAVED PLATES
25 CHARACTERS PER LINE - THIS INCLUDES SPACES
LINE #1 -
LINE #2 -
LINE #3 -
LINE #4 -
Additional Requests
Download as PDF