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Bark Park Registration Packet Bark Park Registration Packet 812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com 812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com Benefits of Membership The Annual Family Membership to the AWL Bark Park includes the use of all 3 Bark Park play areas. Each family membership includes a pet bandana for the registered dog and must be worn while the dog is in the Bark Park play areas, (two bandanas if there are two registered dog family members.) Additional bandanas for additional registered dog family members can be purchased at the AWL Adoption Center. In addition to enjoying the quiet country setting of the Bark Park and experiencing the enjoyment of pet socialization and meeting other pet enthusiasts, members of the Bark Park also get to experience the joy of supporting the shelter pets in the AWL Adoption Center. We thank you for your support! AWL Bark Park Application If registering more than two dogs per household please submit a second application. Dog Owner Information: Name:_____________________________________________________________DOB:___________________ I have read and understand Bark Park rules and policies: (Initials) ________________ (Date) ______________________ Additional Family Member:____________________________________________ DOB:_________________________ I have read and understand Bark Park rules and policies: (Initials) _________________ (Date) _____________________ Additional Family Member:____________________________________________________________ DOB:_________________________ I have read and understand Bark Park rules and policies: (Initials) _________________ (Date) _____________________ Home Phone:________________________________________________ Cell Phone:_____________________________________________ Address:______________________________________________________________ City:___________________________ Zip:___________ E-mail:__________________________________________________________________________________________________________________ Please provide e-mail so we may notify you of important information regarding Bark Park. Dog Information: Dog Name:________________________________________________ Dog Name:_____________________________________________ Breed: _____________________________________________________ Breed:_________________________________________________ Color:______________________________________________________ Color:___________________________________________________ Male/Female:_____________________________________________ Male/Female:__________________________________________ Weight:____________________________________________________ Weight:_________________________________________________ Tag # ____________________ Rabies # _______________________ Tag # _____________________ Rabies # ___________________ Included is a complete Veterinarian Certification Form and a vet health/shot record for each dog. Payment Yearly Membership to the AWL Bark Park Membership is for the Calendar Year January - December Upon approval of this application and payment of the annual fee listed below, the individual(s) and the dog(s) identified in this application may use Bark Park in accordance with all applicable rules and regulations. Annual Membership Fee: $120.00 for the calendar year January 1-December 31. Annual Payment: Cash: _______________ Check: _______________ Check No: __________________ Credit Card: __________________________________________________________ Exp: _____________________ Visa MC Discover AMEX Security Code: __________ Signature:________________________________________________________ Date:__________________________ Members will be issued a Bark Park Access Code for the gate. A bandana will be given to each dog and must be worn by the dog while inside AWL Bark Park. 812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com 812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com Please Print One Copy Per Dog Veterinarian’s Information Veterinarian’s Name: _________________________________________________________________ Address: _____________________________________________________________________________ Phone: ________________________________________________________________________________ Dog Information Dog’s Name: ___________________________________ Tag # _____________ Rabies # ______________ Breed: ________________________________________________ Color: ___________________________________ Male/Female: _________________________ Age: _________________ Weight: _________________________ Owner Information Owner’s Name: __________________________________________________________________________________ e-mail address: __________________________________________________________________________________ o I verify that the above mentioned dog has current vaccinations for: Rabies, Distemper, Hepatitis, Para Influenza, Parvovirus, Bordetella, and Leptospirosis. o I verify that the above mentioned dog has passed a stool sample test for internal parasites within the last year. o I verify that the above mentioned dog is in compliance with Rabies vaccination requirements of the State of Ohio. Veterinarian’s Signature: ________________________________________________ Date: _____________ 812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com Please Print One Copy Per Dog Veterinarian’s Information Veterinarian’s Name: _________________________________________________________________ Address: _____________________________________________________________________________ Phone: ________________________________________________________________________________ Dog Information Dog’s Name: ___________________________________ Tag # _____________ Rabies # ______________ Breed: ________________________________________________ Color: ___________________________________ Male/Female: _________________________ Age: _________________ Weight: _________________________ Owner Information Owner’s Name: __________________________________________________________________________________ e-mail address: __________________________________________________________________________________ o I verify that the above mentioned dog has current vaccinations for: Rabies, Distemper, Hepatitis, Para Influenza, Parvovirus, Bordetella, and Leptospirosis. o I verify that the above mentioned dog has passed a stool sample test for internal parasites within the last year. o I verify that the above mentioned dog is in compliance with Rabies vaccination requirements of the State of Ohio. Veterinarian’s Signature: ________________________________________________ Date: _____________ 812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com Rules and Regulations for AWL’s Bark Park 1. Users of Bark Park do so at their own risk. The Animal Welfare League is not responsible for any injury or damage caused by any dog in or outside of the off leash area. 2. Dogs must wear their AWL bandana while in Bark Park. 3. Bark Park is open from dawn to dusk. 4. Cooperation between dog owners is expected, including keeping order and enforcing Bark Park rules and regulations. 5. Food of any kind, dog treats, littering, bikes, and climbing on or over the fence is prohibited. 6. All dogs must have current licenses and be current on immunizations and shots including rabies, distemper and parvovirus. 7. Collars are to be securely fastened and worn at all times. No pincher or spiked collars allowed. 8. Dog collars must display identification, current county tag and rabies tag. 9. A dog handler 18 years or older must be present at all times and is solely responsible for the actions of their dog(s), children, and any guests accompanying them. 10. NO aggressive dogs allowed. Immediately leash your dog and exit the Bark Park if aggressive behavior is displayed. 11. Before approaching or handling another dog, obtain permission from the owner. 12. Dogs that are in heat or bark excessively are not permitted in Bark Park. 13. No electronic devices, firearms, explosive devices, noisemakers, or live or dead animals may be utilized for training purposes or any other purpose within Bark Park. 14. Patrons are responsible for clean-up and disposal of feces left by their dog. Failure to pick-up after your dog may result in a fine up to $500.00 and loss of Bark Park privileges. 15. Failure to comply with the rules may result in loss of privileges and removal from Bark Park. 16. The Animal Welfare League staff has the authority to close the site for maintenance, weather hazards, rule violations, and special events without prior notice. 17. In case of emergency (dog bite or dangerous behavior) immediately call 911 for assistance. All other issues please call the Animal Welfare League at (330) 539-5300. 18. Maximum number of dogs per adult is two and both dogs must remain in the same exercise area as their owner. Large dogs (26 pounds and up) are not allowed in the small dog area. 19. Dogs must remain in sight of the owner and never be left in the Bark Park unattended. 20. Dogs must be leashed prior to entering and when leaving Bark Park. Owners must carry a leash for each dog at all times. 21. Leave unhealthy dogs at home. 22. No animals other than dogs are permitted in the fenced-in area. 23. Keep Bark Park gates closed at all times. 24. Dogs with a known history of dangerous behavior are prohibited. 25. Please abide by posted signage in the park concerning designated areas
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