Medical Release/Consent Form

Brevard Bed & Biscuit assumes no liability for any injury or illness to your pet. In case of an emergency evacuation, you give consent to have your pet transported to a safe facility if you cannot pick them up prior to the emergency evacuation.

You must leave a credit card on file for emergency and payment purposes. Pets will not be released until their stay has been paid for in full. Pets left without payment for more than five days will be considered abandoned and will be surrendered to Brevard Humane Society for adoption.

You are giving consent and authority to the Brevard Bed & Biscuit, if we are unable to reach you or your emergency contact, to provide or obtain medical treatment for your pet; only essential medical treatment will be administered.

By completing the form below, you are agreeing to leave your credit card number on file and that you understand and accept the terms listed.

Pet Owner's Name(Required)