Name of pet owner: · ________________________________________________________________________
Registration date: · ________________________________________________________________________
Type of pet #1: · ??Dog · ??Cat
Name of pet #1: · ________________________________________________________________________
Description of pet #1: [breed, color,size, markings]: ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Type of pet #2: · ??Dog · ??Cat
Name of pet #2: · ________________________________________________________________________
Description of pet #2: [breed, color,size, markings]: ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
I, the undersigned, assume all responsibility for supervising the pet[s] I have registered with Conserve School. Additionally, I assume all liability for any preventable actions of my pet[s]. I have read the Conserve School Procedures regarding Pet Ownership by Live-In Staff and agree to abide by the guidelines and procedures listed as well as any that may be added at a later date. I understand that pet-related complaints will be investigated by the Dean of Students and that sanctions may be imposed by the Verification & Enforcement Team [the VET].
Signature of pet owner: · ________________________________________________________________________
Date: · ________________________________________________________________________
Verification for pet #1: · ??Spayed or neutered · Staff initials_________
??All shots current as of registration date · Staff initials_________
??Pet has ID tag · Staff initials_________
??Pet deposit of $200 paid · Staff initials_________
Verification for pet #2: · ??Spayed or neutered · Staff initials_________
??All shots current as of registration date · Staff initials_________
??Pet has ID tag · Staff initials_________
??Pet deposit of $200 paid · Staff initials_________
From the original 1998–2005 site. Details, prices and links may be out of date, so check them against your own campus policies.