CALIFORNIA STATE POLYTECHNIC UNIVERSITY, POMONA
|Office of Risk Management
Memorandum of Understanding
Permission to Have an Animal in a University Activity
|California State Polytechnic University, Pomona (University) approves
the request of ___________________________ (Individual) to have the following
animal ______________________ be physically present in the following University
building ________________ on _____________________. This approval is contingent
upon the Individual agreeing to the following:
Individual agrees to assume all risk of injury, of every kind and nature,
which may result result from the participation of Animal in the Activity.
Individual agrees to indemnity and hold harmless and completely release
the State of California, the Trustees of the California State University,
California State Polytechnic University, Pomona and the officers, agents
and employees of each from all claims or causes of action arising out of,
or in any way connected with Animal's participation in the Activity.
Individual understands that the University does not assume any liability
or responsibility for the acts of Animal while participating in the Activity.
University has provided Individual with a copy of University's Animal Policy.
Individual agrees to abide by University's Animal Policy.
Individual agrees that Animal shall at all times be under his/her control
and when not under his/her control shall be confined to a kennel.
Individual understands that failure to comply with University's Animal
Policy or failure to comply with the terms of this Memorandum of Understanding
may result in Animal being excluded from participation in any future University
activity or from being allowed to be present in any University building.
Upon request by University, Individual agrees to immediately remove Animal
from University premises if University deems the Animal to be disruptive
to the orderly operations of University. Individual further agrees that
if he/she fails to comply with such a request from University, University
has the right to immediately remove Animal from University premises.
|Signature for University:
|(insert name and title)
Individual's signature below
manifests higher agreement to abide by the terms of this Memorandum of