Palatability Study Participant Form Please fill out the form below for each pet. Name Email Phone Address City State Zip Code Country Pet Name Species Dog Cat Horse Breed Age Weight Sex Male Female Spayed or Neutered Spayed Neutered Neither Image of pet Diet Would you consider your pet a picky eater? Has your pet had any surgeries in the past 3 months? If yes, please include surgery date and description. Does your pet have any disease or chronic condition? If yes, please describe. Does your pet have any food allergies to pork, chicken, turkey, duck, poultry products, soy, grain, or others? If yes, please describe. Yes No Describe any food allergies. Is your pet currently on any medications or supplements/vitamins? If yes, please describe. By signing and submitting this enrollment form, you agree to allow your pet to participate in a random, blinded, cross-over palatability study conducted by PF LLC. Upon completion of the study, you are eligible to receive compensation in the amount of $60.00 USD per pet (maximum 5 pets) in the form of an American Express gift card. All test materials will be provided to you at no cost. No adverse risks are associated with this study; however, any adverse event or any unusual behavior elicited by your pet should be reported to Pet Flavors immediately. Results from this study will remain proprietary and confidential. All written materials remain the sole property of PF LLC and all information shared with PF LLC shall remain confidential. I allow PF LLC to use and/or reproduce my pet's photos and/or videos. - I understand that all photos and videos shall become the property of PF LLC. - I authorize PF LLC to distribute and reproduce the materials for the following purposes: website, advertising, marketing, branding, educational, digital promotions, internet videos, online courses, media, other commercial or non-commercial purposes. - I grant PF LLC to use my photos and videos on LinkedIn, Facebook, Twitter, Instagram, and other social media platforms. - I do not permit PF LLC to use these materials that can harm my reputation or others. - I understand that the materials taken will be covered with this document only. - I release PF LLC from all liability and obligations from any claim for injury, illnesses, claims, or demands. - I/We, the undersigned, hereby agreed that we have read this agreement and bounded by it. Electronic Signature Send