Daumier Pet Registration Form

Daumier Pet Registration
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 *

Cancel of
ESA/SA Certification:

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

Clear
Should be Empty: