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?YesNoAgeLicense 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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