Daumier Pet Registration Form

All pets must be registered with the Daumier prior to being on the property.

Please read the required policies before signing: Daumier Pet Addendum

Daumier Pet License Fee: $30 per monthly installment

Unauthorized Pet Fee: $250

Service Animals and Emotional Support Animals with proper documentation are not charged a pet license fee.

All pet fees are automatically added to Resident Accounts.

Name *

First Name Last Name

WesternU Email *

Phone *

Area Code Phone Number

Pet Type *

Cat Dog

Is your Pet a Service or Emotional Support Animal? *

Yes, Service Animal Yes, Emotional Support Animal No

Pet Name *

Pet Breed *

Pet Color *

Pet Age *

Pet Weight *

Pet Vaccination Records *

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ESA/SA Certification:

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By signing here, I acknowledge that I have read and understood all pet polices, procedures and fees: *

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