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Vacation/Vacant House Registry

  1. Waiver,
    I, the undersigned, affirm I am the owner of the property indicated and further agree to hold harmless the Village of Waunakee and the Village of Waunakee Police Department and its employees; acknowledging that by completing this form, I am requesting police check said property during my absence. Further, I affirm the property will be vacant during the times listed below.

    I further acknowledge this form in no way binds nor implies the Waunakee Police Department will be responsible for the security and safekeeping of my property. I understand that if the Police Department finds an open door, officers will enter my residence and check it.

  2. Type of premises:*

  3. Lights on:*

  4. Constant:*

  5. Keys left with anyone:*

  6. Leave This Blank:

  7. This field is not part of the form submission.