Authorization for Pet Ownership Animal Owner's Name:(Required) Animal Owner's Address: Home Telephone:Work Telephone:Animal's Name: Type of Breed: Spayed or Neutered?YesNoAge License or ID Number: Veterinarian if Applicable: Address: Phone:Emergency Caregiver information for the animal if needed: Address: Phone:I have read and understand the rules governing pets and I and all members of my household promise to fully comply.Signature of animal owner:Date MM slash DD slash YYYY
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