{"id":1937,"date":"2026-03-23T12:09:15","date_gmt":"2026-03-23T12:09:15","guid":{"rendered":"https:\/\/vianovaequine.com\/euthanasia-consent-form\/"},"modified":"2026-04-29T15:42:48","modified_gmt":"2026-04-29T15:42:48","slug":"euthanasia-consent-form","status":"publish","type":"page","link":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/","title":{"rendered":"Euthanasia Consent Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1937\" class=\"elementor elementor-1937 elementor-1805\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c154f97 e-flex e-con-boxed e-con e-parent\" data-id=\"c154f97\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ad8bd2 elementor-widget elementor-widget-heading\" data-id=\"0ad8bd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Euthanasia Consent Form <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e6b5b8 elementor-widget elementor-widget-breadcrumbs\" data-id=\"8e6b5b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/vianovaequine.com\/en\/home\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c2cea0d e-flex e-con-boxed e-con e-parent\" data-id=\"c2cea0d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-fdab01e e-con-full e-flex e-con e-child\" data-id=\"fdab01e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f7c8d9 elementor-widget elementor-widget-heading\" data-id=\"6f7c8d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fill out the online form <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b18d56 elementor-widget elementor-widget-text-editor\" data-id=\"1b18d56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>For the performance of euthanasia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7393be7 elementor-widget elementor-widget-button\" data-id=\"7393be7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#formulier\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Fill out form <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df28d70 e-con-full e-flex e-con e-child\" data-id=\"df28d70\" data-element_type=\"container\" data-e-type=\"container\" id=\"#formulier\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9279a9f elementor-widget elementor-widget-shortcode\" data-id=\"9279a9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"frm_forms  with_frm_style frm_style_formidable-stijlen\" id=\"frm_form_4_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_xf8in42\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"xf8in42\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"7b914e84b7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1937\" \/><div id=\"frm_field_75_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Euthanasia consent form<\/h3>\n<\/div>\n<div id=\"frm_field_76_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_myv8b2\" id=\"field_myv8b2_label\" class=\"frm_primary_label\">Date\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_myv8b2\" name=\"item_meta[76]\" value=\"\"  data-invmsg=\"Date is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h4>Owner details<\/h4>\n<\/div>\n<div id=\"frm_field_77_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_n7adk2\" id=\"field_n7adk2_label\" class=\"frm_primary_label\">Salutation\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[77]\" id=\"field_n7adk2\"  data-frmval=\"Dhr.\" data-reqmsg=\"Salutation cannot be empty.\" aria-required=\"true\" data-invmsg=\"Salutation is ongeldig\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Dhr.\" selected='selected'>Mr.<\/option><option  value=\"Mevr.\">Mrs.<\/option><option  value=\"Rechtspersoon\">Legal entity<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_78_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_x3kwf2\" id=\"field_x3kwf2_label\" class=\"frm_primary_label\">First name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_x3kwf2\" name=\"item_meta[78]\" value=\"\"  data-reqmsg=\"First name cannot be empty.\" aria-required=\"true\" data-invmsg=\"First name is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_79_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_54ovx2\" id=\"field_54ovx2_label\" class=\"frm_primary_label\">Last name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_54ovx2\" name=\"item_meta[79]\" value=\"\"  data-reqmsg=\"Last name cannot be empty.\" aria-required=\"true\" data-invmsg=\"Last name is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_80_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_y8ply2\" id=\"field_y8ply2_label\" class=\"frm_primary_label\">Street name + house number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_y8ply2\" name=\"item_meta[80]\" value=\"\"  data-reqmsg=\"Street name + house number cannot be empty.\" aria-required=\"true\" data-invmsg=\"Street name + house number is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_2g4vh2\" id=\"field_2g4vh2_label\" class=\"frm_primary_label\">Zip code\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_2g4vh2\" name=\"item_meta[81]\" value=\"\"  data-reqmsg=\"Zip code cannot be empty.\" aria-required=\"true\" data-invmsg=\"Zip code is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_82_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_5t6g02\" id=\"field_5t6g02_label\" class=\"frm_primary_label\">Place of residence\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_5t6g02\" name=\"item_meta[82]\" value=\"\"  data-reqmsg=\"Place of residence cannot be empty.\" aria-required=\"true\" data-invmsg=\"Place of residence is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_83_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_gkj7v2\" id=\"field_gkj7v2_label\" class=\"frm_primary_label\">Country\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_gkj7v2\" name=\"item_meta[83]\" value=\"\"  data-reqmsg=\"Country cannot be empty.\" aria-required=\"true\" data-invmsg=\"Country is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_93_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h4>Horse details<\/h4>\n<\/div>\n<div id=\"frm_field_94_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_nth1t2\" id=\"field_nth1t2_label\" class=\"frm_primary_label\">Horse name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_nth1t2\" name=\"item_meta[94]\" value=\"\"  data-reqmsg=\"Horse name cannot be empty.\" aria-required=\"true\" data-invmsg=\"Horse name is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_95_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n\t<label for=\"field_r35xc2\" id=\"field_r35xc2_label\" class=\"frm_primary_label\">Breed\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_r35xc2\" name=\"item_meta[95]\" value=\"\"  data-invmsg=\"Breed is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_hqpvt\" id=\"field_hqpvt_label\" class=\"frm_primary_label\">Birth date\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_hqpvt\" name=\"item_meta[109]\" value=\"\"  data-reqmsg=\"Birth date cannot be empty.\" aria-required=\"true\" data-invmsg=\"Birth date is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_wg9q92\" id=\"field_wg9q92_label\" class=\"frm_primary_label\">Chip number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_wg9q92\" name=\"item_meta[97]\" value=\"\"  data-reqmsg=\"Chip number cannot be empty.\" aria-required=\"true\" data-invmsg=\"Chip number is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h4>General<\/h4>\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_q90p52_label\" class=\"frm_primary_label\">SIGNATURE OF OWNER\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_q90p52_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_104-0\">\t\t\t<label  for=\"field_q90p52-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[104][]\" id=\"field_q90p52-0\" value=\"Ik, ondergetekende, bevestig hierbij de eigenaar te zijn (of vertegenwoordiger van de eigenaar) van het hierboven vermelde dier, en verklaar hierbij akkoord te zijn met en bevestig tegelijkertijd de uitvoering van het euthanaseren van bovengenoemde dier.\"  data-reqmsg=\"SIGNATURE OF OWNER cannot be empty.\" data-invmsg=\"SIGNATURE OF OWNER is ongeldig\"   aria-required=\"true\"  \/> I, the undersigned, certify that I am the owner (or an authorized agent for the owner) of the above stated animal, and I consent to, and order euthanasia to be performed on the said animal.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_zn26x_label\" class=\"frm_primary_label\">I provide veterinarian (mention name in next field) or his\/her representative, full and complete authority to euthanize and dispose of the said animal in a humane manner and in accordance with the rules and regulations of the establishment. \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_zn26x_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_110-0\">\t\t\t<label  for=\"field_zn26x-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[110][]\" id=\"field_zn26x-0\" value=\"Akkoord\"  data-reqmsg=\"I provide veterinarian (mention name in next field) or his\/her representative, full and complete authority to euthanize and dispose of the said animal in a humane manner and in accordance with the rules and regulations of the establishment.  cannot be empty.\" data-invmsg=\"I provide veterinarian (mention name in next field) or his\/her representative, full and complete authority to euthanize and dispose of the said animal in a humane manner and in accordance with the rules and regulations of the establishment.  is ongeldig\"   aria-required=\"true\"  \/> Agree<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_m1ekh2\" id=\"field_m1ekh2_label\" class=\"frm_primary_label\">Name of veterinarian or substitute\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_m1ekh2\" name=\"item_meta[100]\" value=\"\"  data-reqmsg=\"Name of veterinarian or substitute cannot be empty.\" aria-required=\"true\" data-invmsg=\"Name of veterinarian or substitute is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_b6ala_label\" class=\"frm_primary_label\">Furthermore, I forever release the doctor or representatives from any and all liability of the said euthanasia. \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_b6ala_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_112-0\">\t\t\t<label  for=\"field_b6ala-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[112][]\" id=\"field_b6ala-0\" value=\"Akkoord\"  data-reqmsg=\"Furthermore, I forever release the doctor or representatives from any and all liability of the said euthanasia.  cannot be empty.\" data-invmsg=\"Furthermore, I forever release the doctor or representatives from any and all liability of the said euthanasia.  is ongeldig\"   aria-required=\"true\"  \/> Agree<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_111_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n\t<div  id=\"field_4sc6a_label\" class=\"frm_primary_label\">Also applicable:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_4sc6a_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_111-0\">\t\t\t<label  for=\"field_4sc6a-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[111][]\" id=\"field_4sc6a-0\" value=\"Het stoffelijk overschot zal worden opgehaald door de firma Rendac\"  data-invmsg=\"Also applicable: is ongeldig\"   \/> The mortal remains will be picked up by the company Rendac.  <\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_111-1\">\t\t\t<label  for=\"field_4sc6a-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[111][]\" id=\"field_4sc6a-1\" value=\"Het paard is bestemd voor crematie\"  data-invmsg=\"Also applicable: is ongeldig\"   \/> The horse is destined for cremation<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_111-2\">\t\t\t<label  for=\"field_4sc6a-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[111][]\" id=\"field_4sc6a-2\" value=\"Autopsie is gevraagd\"  data-invmsg=\"Also applicable: is ongeldig\"   \/> Autopsy is required<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_3qrx02\" id=\"field_3qrx02_label\" class=\"frm_primary_label\">Comments\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[103]\" id=\"field_3qrx02\" rows=\"3\"  data-invmsg=\"Comments is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_105_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_ohbnb2_label\" class=\"frm_primary_label\">General terms\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ohbnb2_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_105-0\">\t\t\t<label  for=\"field_ohbnb2-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[105][]\" id=\"field_ohbnb2-0\" value=\"Ik heb de &lt;a href=&quot;https:\/\/vianovaequine.com\/algemene-voorwaarden&quot; target=&quot;_blank&quot;&gt;Algemene Voorwaarden en Addendum&lt;\/a&gt; gelezen en ga hiermee akkoord.\"  data-reqmsg=\"General terms cannot be empty.\" data-invmsg=\"General terms is ongeldig\"   aria-required=\"true\"  \/> I have read the <a href=\"https:\/\/vianovaequine.com\/en\/terms-and-conditions\/\" target=\"_blank\">General Terms and Conditions and Addendum<\/a> and agree to them.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><span style=\"color: #000000\"><em>Please remind us that the bill must be paid at the reception immediately after the treatment. This can be done by Bancontact\/debit card (preferred), credit card (VISA\/Mastercard), or cash. Please contact us if you are not present yourself and would like to pay via a payment link (= instant payment).<\/em><\/span><\/p>\n<\/div>\n<div id=\"frm_field_107_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Send\"  class=\"frm_final_submit\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/vianovaequine.com\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Bezig met versturen\" style=\"visibility:hidden;\" \/>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_168_container\">\n\t\t\t<label for=\"field_l5vn8\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_l5vn8\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[168]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"UXCRwcZ8Yhn+uHh97jCHzNZcThNxXnJwqQgAV55JoRiUadUUFqb4dba7JvQlpLCI\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Euthanasia Consent Form Fill out the online form For the performance of euthanasia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally. Fill out form<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1937","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Euthanasia Consent Form - Via Nova Equine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Euthanasia Consent Form - Via Nova Equine\" \/>\n<meta property=\"og:description\" content=\"Euthanasia Consent Form Fill out the online form For the performance of euthanasia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally. Fill out form\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Via Nova Equine\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/vianovaequine\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-29T15:42:48+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/euthanasia-consent-form\\\/\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/euthanasia-consent-form\\\/\",\"name\":\"Euthanasia Consent Form - Via Nova Equine\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#website\"},\"datePublished\":\"2026-03-23T12:09:15+00:00\",\"dateModified\":\"2026-04-29T15:42:48+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/euthanasia-consent-form\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/vianovaequine.com\\\/en\\\/euthanasia-consent-form\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/euthanasia-consent-form\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/home\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Euthanasia Consent Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/\",\"name\":\"Via Nova Equine\",\"description\":\"Paardenkliniek in Bree, excellentie in zorg voor uw paard, altijd en overal.\",\"publisher\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#organization\",\"name\":\"Via Nova Equine\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/wp-content\\\/uploads\\\/2025\\\/06\\\/via_nova_logo.png\",\"contentUrl\":\"https:\\\/\\\/vianovaequine.com\\\/wp-content\\\/uploads\\\/2025\\\/06\\\/via_nova_logo.png\",\"width\":800,\"height\":242,\"caption\":\"Via Nova Equine\"},\"image\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/vianovaequine\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Euthanasia Consent Form - Via Nova Equine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/","og_locale":"en_US","og_type":"article","og_title":"Euthanasia Consent Form - Via Nova Equine","og_description":"Euthanasia Consent Form Fill out the online form For the performance of euthanasia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally. Fill out form","og_url":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/","og_site_name":"Via Nova Equine","article_publisher":"https:\/\/www.facebook.com\/vianovaequine\/","article_modified_time":"2026-04-29T15:42:48+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/","url":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/","name":"Euthanasia Consent Form - Via Nova Equine","isPartOf":{"@id":"https:\/\/vianovaequine.com\/en\/#website"},"datePublished":"2026-03-23T12:09:15+00:00","dateModified":"2026-04-29T15:42:48+00:00","breadcrumb":{"@id":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/vianovaequine.com\/en\/euthanasia-consent-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/vianovaequine.com\/en\/home\/"},{"@type":"ListItem","position":2,"name":"Euthanasia Consent Form"}]},{"@type":"WebSite","@id":"https:\/\/vianovaequine.com\/en\/#website","url":"https:\/\/vianovaequine.com\/en\/","name":"Via Nova Equine","description":"Paardenkliniek in Bree, excellentie in zorg voor uw paard, altijd en overal.","publisher":{"@id":"https:\/\/vianovaequine.com\/en\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/vianovaequine.com\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/vianovaequine.com\/en\/#organization","name":"Via Nova Equine","url":"https:\/\/vianovaequine.com\/en\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/vianovaequine.com\/en\/#\/schema\/logo\/image\/","url":"https:\/\/vianovaequine.com\/wp-content\/uploads\/2025\/06\/via_nova_logo.png","contentUrl":"https:\/\/vianovaequine.com\/wp-content\/uploads\/2025\/06\/via_nova_logo.png","width":800,"height":242,"caption":"Via Nova Equine"},"image":{"@id":"https:\/\/vianovaequine.com\/en\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/vianovaequine\/"]}]}},"_links":{"self":[{"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/pages\/1937","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/comments?post=1937"}],"version-history":[{"count":3,"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/pages\/1937\/revisions"}],"predecessor-version":[{"id":1940,"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/pages\/1937\/revisions\/1940"}],"wp:attachment":[{"href":"https:\/\/vianovaequine.com\/en\/wp-json\/wp\/v2\/media?parent=1937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}