Have you read the OCT Dog Policy information? *
Pet Profile
Sex *
Spayed/Neutered? *
Is your dog up-to-date on all vaccinations? *
Please submit proof of vaccinations to the OCT Dog Liaison
Is your dog fully potty trained? *
Please use this space to detail any health issues your dog may have, including food allergies.
If your dog causes physical damage to a person while on OCT property, would your home or rental insurance cover the damages? *
Please submit proof of dog bite coverage in your home owner's or renter's insurance to the OCT Dog Liaison
In consideration of being permitted to bring one’s dog to the work place, I do hereby unconditionally release, indemnify, waive, discharge, and agree to hold harmless Oregon Children’s Theatre from any loss, damage, liability, and expense, including court costs and attorney fees, that may be incurred as a result of injuries, including death to persons or dogs, or damage to property, directly or indirectly associated with the owner bringing his/her dog to the workplace, whether caused by the negligence of other staff or guests, or otherwise. Additionally, I am willing to accept responsibility for any costs incurred if my dog bites another person or destroys individual or company property, willing to provide evidence of my homeowner’s/renter’s insurance policy if requested by management, and willing to accept cues from co-workers about my dog’s behavior, without defensiveness, if concerns are brought forward to me about my pet. BY SIGNING THIS AUTHORIZATION AND RELEASE, THE DOG OWNER EXPRESSLY ACKNOWLEDGES AND REPRESENTS that he/she has carefully read the foregoing terms and conditions, understands the contents thereof and signs voluntarily; he/she is at least eighteen (18) years of age and fully competent; and executes this Authorization and Release intending that he/she, his/her spouse and family members, and his/her heirs, assigns and personal representatives if deceased, be legally bound by same.