HORIZON LAND MANAGEMENT, LLC Lyon's Creek MHC, LLC Pet Registration / Waiver Pet One Description: Breed: _______________________________ Name: _______________________________ Age: ________ Color: _____________ Indoor: ___________ Outdoor: ___________
Pet Two Description: Breed: ______________________________ Name: ______________________________ Age: _________ Color: ____________ Indoor: __________ Outdoor: __________
Identification: (required) Does this pet have a collar tag? Yes / No If not, when do you plan on getting one? _____________________________________
Identification: (required) Does this pet have a collar tag? Yes / No If not, when do you plan on getting one? ____________________________________
Photo: (required) Included: Yes / No If not, when can you send one? ____________ _____________________________________
Photo: (required) Included: Yes / No If not, when can you send one? __________ ____________________________________
Vaccination: (required) Proof Included: Yes / No If not, please send immediately.
Vaccination: (required) Proof Included: Yes / No If not, please send immediately.
I declare all information to be true & correct. Initials: __________
I declare all information to be true & correct, Initials: _________
Additional Information: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ I UNDERSTAND THAT I AM FULLY AND SOLELY RESPONSIBLE FOR MY PET(S) AND THE ACTIONS OF MY PET(S). I AGREE TO INDEMNIFY THE COMMUNITY OWNERS AND MANAGER AGAINST ANY AND ALL DAMAGES THAT ARE CAUSED BY MY PET(S). Signature: ________________________________ Date: ________________
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