Pet registration form

First name

Last name

Address

Address 2

City/Town

ZIP/Postal Code

Telephone

email address

Please tell us about your home

House or bungalow - if you rent your home, consent is not required to keep pets but you are encouraged to register your pet with us. If you lease your home, you may need to get permission.

Flat with access to your own private garden - consent is required

Flat with access to a shared garden or open space - consent is required

Flat without access to any shared or open space - consent is required

Have you or anyone in your household been prosecuted for any offence against an animal?

Yes - if yes we will not grant consent

Is your pet micro chipped and neutered to prevent breeding?

Yes

No - we will not grant consent unless your pet is neutered and micro chipped

Do you have more than three pets already?

Yes - if yes you will need our consent to keep more than three pets

Are you aware of any covenants restricting pets that apply to your home?

Yes - if yes we will not grant consent

If you already have pets living at your property, how many do you have (not including small caged pets)?)

How many pets do you intend to keep?

Description of your pet(s) for example small black cat

Is the dog of a breed type, that requires an exemption certificate under the Dangerous Dogs Act 1991?

Yes

If yes, we will not be able to grant consent.

See here for more information https://www.gov.uk/control-dog-public/banned-dogs

Approximate age(s) of your pet(s)

Your pet(s) name(s)

Can you meet the welfare needs of the pet or pets by providing suitable accommodation and any specialist equipment they may need?

Yes

Please see the Animal Welfare Act 2006 at www.defra.gov.uk

Contact details for someone who can look after your pet(s) if you are unable to. Provide name, address, telephone number and email address.

Print full name in the box below to confirm this declaration - I confirm I fully understand my responsibilities under my tenancy agreement. I understand that I am fully responsible for the care, welfare and behaviour of my pet(s) and will ensure that they do not cause any nuisance or distress to my neighbours or others. I understand that LiveWest has the right to withdraw any consent to keep a pet at any time. I also understand that LiveWest will report any issues concerning the welfare of my animals directly to the RSPCA. I understand that LiveWest does not allow any business activities involving the breeding and/or buying and selling of animals to take place in their homes and that I may put my tenancy at risk if I undertake such practices.

Signature

Sign above

Date