PEEKSKILL ART LOFT OWNERS HOUSING DEVELOPMENT FUND CORP
PET REGISTRATION FORM
Please use a separate form for each animal in your household.
Tell us about you.
Name:
Telephone Number:
E-Mail address:
Tell us about your pet.
Generic Specie (dog, cat, bird):
Breed or Type:
Sex: M F (circle one)
Spayed Neutered Intact
(circle one)
What is your pet’s name?
What color is your pet?
What size is your pet?
Less than 8 lbs / 8-25 lbs / 26-75lbs / 76-150lbs / Over 150lbs
(circle one)
Are there any other identifying details or marking?
License No. (if available):
License Expiration Date:
Rabies Vaccination No.:
Rabies Vaccination Expiration Date:
PLEASE READ
By signing this form, I certify that I have read and understand the House Rules pertaining
to pet ownership within Peekskill Art Loft.
Furthermore, I understand that the rules can change form time to time and it is my sole
responsibility to be aware of rule changes. I certify that my pet is not considered to be a
vicious animal either by virtue of law or by deceleration of an applicable court and that I
will supervise such pet at all times in such a manner as to prevent its’ becoming
objectionable or a nuisance in compliance with House Rules. I further agree to repair
any damages done by said pet to the common areas or to other units within five (5)
days. I agree that failure to make the required repairs within the required time will
cause these services to be performed at my expense (the expense of the owner) by the
Corporation. I also acknowledge that violations will be addressed by the Board or their
agent for enforcement in accordance with the House Rules.
Signed: ______________________________________________
Date: ______________________