Forest Village Apartments Pet Owner Check list

The following must be completed and approved prior to pet arriving on campus:

  1. Pet Policy Agreement
  2. Including a picture
  3. $200 nonrefundable registration fee
  4. Pet registration Form
  5. Including vaccinations and certificate of spay or neuter, if applicable
  6. Signed roommate agreement
  7. Proof of renter’s insurance

PET POLICY AND AGREEMENT

I have completely read and understand the Pet Policy and Agreement. I understand that having my pet on campus is a privilege and that violating any Pet policies may result in the loss of my privilege to have a pet and/or to live in the Forest Village Apartments.

______

Signature Printed Name Date

Name of Resident: ______Cell phone: ______

Forest Village Apartments Address: ______

Name of Pet: ______Age: ______Weight (Exact): ______

Species: ______Breed: ______Sex: ______

Emergency Contact Information:

Name: ______Cell Phone: ______

Email: ______

Veterinarian Information:

Name: ______Phone Number: ______

Office Name & Address: ______

______

$200 Nonrefundable fee received: ______

I agree to pay a $30 monthly pet fee that will be billed to my student account: ______

Pet Registration

Pet Owner / Apartment Building/Number

Description of Pet

Name
Type (cat, gerbil, etc.)
Breed (tabby, calico, etc.)
Color
Exact Weight (Cat/Dog only)
Height (Cat/Dog only)

Documentation Checklist (Varies based on type of pet)

Document / Date Verified
Rabies Certificate
Shots and Vaccinations (list type below)
Proof of Flea Control
Proof of Spaying or Neutering
Proof of De-claw (cats only)
Apartment Check-in form
Roommate Agreement
Proof of renters insurance

Appropriate Equipment Checklist (Varies based on type of pet)

Item / Date Verified / Item(s) / Date Verified
Pet registration with City / Carpet Cleaning Tools and solutions
Rabies Tags / Leash
Cage / Litter Box
Carrier / Outside waste removal (i.e. little plastic bags )
Disinfectant

Northwest Missouri State University Pet Policy Roommate Agreement

You are currently assigned to a room with a roommate who has requested to bring a pet into your apartment. As a result, we want to ensure that all residents of the apartment are aware of the animal residing in your apartment. There is no expectation that roommates care for or attend to the animal. The sole responsibility of the animal and its safety are placed on the resident who has received the approval to bring the animal into the apartment.

Each apartment may only have two “non-caged” animals (dog or cat) and up to three “caged” animals (small bird, hedgehog, hamster, gerbil, turtle, and guinea pig). However, in no case will an individual RESIDENT be approved for more than one pet. In other words, pets will not outnumber the amount of residents living in an apartment unit.

Roommate Acknowledgement

I agree to allow ______to bring her/his ______to reside with us in our Forest Village Apartment.

By my signature below, I understand that I will share the common areas of my apartment with the animal approved by this agreement. Should I have any concerns regarding the care and control of the approved animal, or believe that policies and expectations are not being met, I will discuss my concerns with the approved animal’s owner. If we cannot reach an agreement, I will contact the Forest Village Apartment Hall Director for further mediation or intervention.

______

Resident’s Signature 919# Date

______

Print name

______

Resident’s Signature 919# Date

______

Print name

______

Resident’s Signature 919# Date

______

Print name

Owner Acknowledgement

I have discussed this request with my apartment roommates and by their signatures above they have indicated their agreement to share our apartment with my approved animal.

______

Owner’s Signature 919# Date

______

Print Name

Updated 8.10.16