I am over the age of 18 years and am the owner or have the authority to present this cat for desexing under the AWLQ CAT Program.

I hereby authorize AWLQ to perform all procedures as recorded on this form. I understand that during the performance of the procedures, unseen conditions may be revealed that necessitate an extension of the

procedure. Therefore, I hereby consent to and authorise the performance of such procedures as necessary and desirable in the exercise of the veterinarian's professional judgement.

I understand that these procedures may be performed by (and/or under the supervision of) any qualified member of our staff.

I understand that if my cat is found to be pregnant at the time of surgery, the pregnancy will be humanely terminated as part of the desexing procedure. I acknowledge this and provide my consent for the procedure to proceed.

I understand that this desexing procedure is provided free of charge through the AWLQ CAT Program. I acknowledge that any additional treatments, medications or procedures required outside of the standard desexing surgery may incur costs. We will attempt to notify you if other procedures are required.

I am aware that my pet is scheduled for a procedure that requires anaesthesia and/or sedation. I understand that although all reasonable precautions and due care will be taken, there is always a potential risk with anaesthesia/sedation and surgical procedures, including death. I accept these risks and authorise AWLQ to perform such treatment as deemed necessary.

I understand that AWLQ takes reasonable precautions to prevent disease transmission while my pet is at the clinic. I understand that if my pet is affected by contagious disease while at the clinic and my pet does not have a current vaccination history, I am responsible for the costs of treatment.

I will ensure that I am able to respond to the phone number provided throughout my cat’s stay at the clinic.