Bark Park Registration Packet

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

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: ______

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 for large and small dogs. Small dogs are 25 lbs. and under.

Failure to follow the rules will be grounds for forfeiture of membership privileges.

812 Youngstown Kingsville Road S.E. Vienna, Ohio 44473 330-539-5300 www.AWLrescueme.com

Liability Waiver You are solely responsible for supervising your dog(s) and determining whether or not this is an appropriate activity in which to participate. You are participating in this activity at your own risk and risk of your dog(s). You are solely responsible for determining if you and/or your dog(s) are physically (or temperamentally) fit to use the Bark Park. It is always advisable, especially if you or your dog(s) is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician or veterinarian before using Bark Park.

Warning of Risk Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury, including death to either the dog(s) or its owner. Dogs are pack animals and when “off leash”, even the best-trained dogs will act instinctively. Not all hazards and dangers associated with dog activities can be foreseen. Certain inherent risks include the propensity of any dog to behave in dangerous ways that may result in injury to another patron or dog(s). Other risks include but are not limited to the inexperience, negligence or irresponsibility of a dog owner; the inability to predict a dog’s reaction to sound, movements, objects, persons, or other animals; and actions by the dog(s) due to fright, anger, stress, insect bites, or natural reactions such as jumping, pulling, resisting and biting. Other risks include the hazards associated with environmental and traffic conditions, acts of God, inclement weather, slipping, falling, premises defects, failure in instruction and or supervision, and all other circumstances inherent to dog and outdoor activities. Should you attempt to break up a fight between dogs you may be attacked and severely mauled by the other dog(s) or even attacked by the other patron. In this regard it must be recognized that it is impossible for the Animal Welfare League to guarantee absolute safety.

Waiver & Release of All Claims and Indemnification Agreement

Please read this form carefully and be aware that in consideration for permission to use this facility you will be expressly assuming the risk and legal liability and WAIVING and RELEASING all claims for injuries, damages or loss which you or your dog(s) might sustain as a result of participating in any and all activities connected with and associated with presence upon and use of the Bark Park. I recognize and acknowledge that there are certain risks of physical injury to the dog(s) and its owner in association with participating in dog activities and I voluntarily agree to abide by all applicable rules assume the full risk of any injuries, damages or loss, regardless of severity, that I might sustain as a result of participating in any and all activities connected with or associated with use of Bark Park. I do hereby agree to waive, relinquish, release and forever discharge the Animal Welfare League, its Board of Directors including the Officers, Staff, Employees, Agents, Volunteers, and Sponsors from any and all claims for injuries, damages or loss that I may have or which may accrue to me and arising out of, connected with, or in any way associated with the use of this facility or surrounding area. I further agree to INDEMNIFY and hold harmless and defend the Animal Welfare League from and against any and all losses of personal injuries or death to any person or dog(s), or damages to property occurring, growing out of incident to, or resulting directly or indirectly from my and my dog’s use of this facility or surrounding area. I have read and fully understand the above important information, warning of risk, assumption or risk and waiver and release of all claims.

Member Printed Name: ______

Signature: ______

Phone: ______Date: ______

Witness Printed Name: ______

Signature: ______