I hereby certify that the animals which will be sterilized are either owned by the applicant or strays with no known owners. All information provided above is truthful and correct to the best of my knowledge. Additionally, I understand that the Louisa Humane Society will not be held liable for any additional charges related to the sterilization procedure above the value of the voucher. I accept that I am responsible for all additional fees charged by the veterinarian. I acknowledge that vouchers will not be replaced, reissued or extended beyond the original date of expiration. Furthermore, I understand and agree that any veterinary service, including the sterilization procedure, is taken with all the standard risks associated with a surgical or veterinary treatment. I agree that the Lousia Humane Society, or any of its volunteers or contractors, will not be held liable for any complications due to surgery or treatment, including but not limited to death, injury or illness.