To: _________________________________
                     Parent/Guardian Name

From: _______________________________
                 Classroom Teacher Name

Subject: Visiting Pets and Rabies Status
Date: ________________________________

Your child, _________________________, has asked if his/her pet can visit the classroom. Because it is a mammal, and mammals can carry rabies, this permission slip must be read, signed and returned to me before the pet can come to school. Please place a check mark where appropriate in sections A and B.

Section A:

______ 1. My child wants to bring his/her kitten/cat to school. This pet has had its rabies shots and is current with all rabies vaccine requirements.

______ 2. My child wants to bring his/her puppy/dog to school. This pet has had its rabies shots and is current with all rabies vaccine requirements.

Section B:

______ My child wants to bring his/her pet (check all that apply below) to school. This pet is not housed or taken outside. There is no reason to believe that the pet(s) have been exposed to rabies.

           ___ rabbit   ___ hamster   ___ guinea pig   ___ gerbil   ___ other (specify)_______________

Parent/guardian signature ______________________________________Date_______________

HC15