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Pet-Friendly Hurricane Evacuation Center (PHEC)

Application: Part 2


I agree to read all information and follow all instructions as detailed on this registration form. I understand that failure to do so will preclude my and/or my family’s, and my pet’s(s’) acceptance. At the end of each paragraph or section there is a box that must be checked acknowledging that you read, understood, and agree to abide by the provisions therein. This form must be completed

in its entirety, notarized, and returned by mail to:

Pet-Friendly Shelter Application c/o Animal Services 7401 NW 74th Street Medley, FL 33166

This form must be signed and dated by an adult who is reporting to the PHEC for sheltering

. It is the

responsibility of the registrant to assure receipt of this form by the Animal Services Department. This may be done by calling 786-331-5354.

I have read and accept the above.

The information that I provided during my registration is accurate and complete. I understand that only those family members and pets pre-registered are allowed into the PHEC.

I have read and accept the above.

I agree to notify the Answer Center as soon as possible of any changes in my registrant status. I understand that any changes, additions or deletions, either of persons or animals, must be made prior to a hurricane warning being issued for any one storm.

I have read and accept the above.

I understand that to gain entrance into the shelter I must reside in one of the mandatory evacuation zones. If my residence changes to an area outside a mandatory evacuation zone, or if I am no longer residing in a home that has been deemed unsafe by Miami-Dade County, I understand that I (and my family and pet(s)) will no longer be eligible for sheltering at the PHEC.

I have read and accept the above.

I understand that to gain entrance into the PHEC, I must arrive at the PHEC with all items outlined in the tentative acceptance letter that accompanied this form.

I have read and accept the above.

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