Registration Form | Dog Park Fees Records to have ready for upload before you register:Please check the boxes to be able to proceed. Image of a valid dog license certificate Image indicating current rabies vaccine and Image showing proof of spay/neuter if not indicated on your dog’s license certificate. Image of your dog Registration FormMembership for you and your Dog $55 -April 1st – March 31st $35 -October 1st –March 31st $20 -January 1st-March 31st Add More Pooches Add 2nd Dog Add 3rd Dog Total Contact Information* Indicates required fieldName* First Last Email* Phone*Secondary PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Tell us about your DogName of your Dog* Dog License Certificate* Drop files here or Select files Accepted file types: pdf, jpeg, jpg, gif, png, Max. file size: 10 MB. Upload a pic, scan or PDFPhoto of your Dog Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Upload a pic, scan or PDFUpload Spay/Neuter DocumentationNOTE: Required if license doesn’t show spay/neuter Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Upload Rabies Vaccine DocumentationNOTE: Required if license doesn’t show vaccination current at time of registration Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Second Dog Name* Second Dog License* Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Please upload a pic, scan or PDFSecond Dog Photo Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Please upload a pic, scan or PDFUpload Spay/Neuter DocumentationNOTE: Required if license doesn’t show spay/neuter Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Upload Rabies Vaccine DocumentationNOTE: Required if license doesn’t show vaccination current at time of registration Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Third Dog Name* Third Dog License Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Please upload a pic, scan or PDFThird Dog Photo Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Please upload a pic, scan or PDFUpload Spay/Neuter DocumentationNOTE: Required if license doesn’t show spay/neuter Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Upload Rabies Vaccine DocumentationNOTE: Required if license doesn’t show vaccination current at time of registration Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 10 MB. Terms and Conditions (please check boxes)*I agree that the FBDP reserves the right to revoke any membership for any reason(s) including, but not limited to Dog license certificate (s) not current and uploaded My dog(s) not spayed or neutered Rabies vaccination missing or not current Not picking up after your dog(s) while in the dog park and/or walking to/from the dog park Your dog(s) behaving in an anti-social way that endangers, threatens, or otherwise causes a disruption to the members of the dog park (hereafter referred to as “the park” or “park”) and/or community You violate any of the rules and regulations of the park as posted You share your “park key” with someone not in your immediate family or associated with your dog(s) You use your key or access to permit a non-registered pet into the dog park Your pet fails to wear FBDP identifying tag while in the park Consents and Confirmations (please check boxes)*The FBDP requires all users to consent and agree to the terms of personal responsibility while using the park. While every attempt is made to operate an enjoyable and safe park, each and every user is solely responsible for the actions of their dog(s) as if this were a public area, no different than any public sidewalk, neighbor’s yard, parking lot, or even the user’s own home. I confirm that my dog(s) have NEVER BITTEN or otherwise INJURED A HUMAN or ANOTHER DOG, and/or has not been deemed dangerous by any municipality. I confirm that should my dog(s) ever develop and/or exhibit any behavior or disease which poses a threat to people or other dogs, that I will IMMEDIATELY DISCONTINUE bringing that dog to the park. I agree that I am fully responsible for all actions of my dog(s) and that, to the fullest extent permitted by law, I will defend, indemnify, and hold harmless FBDP and its officers against all claims arising out of or directly or indirectly relating to the actions of my dog, and that should my dog cause any harm to another person or dog that I am fully liable for those actions and any expenses associated with them. Should my dog(s) be involved in any incident with another person or dog, I agree to hold harmless FBDP and its officers and the liability (if any) rests solely with the owner of the involved dog(s). I agree that the park is run for the community and operated by volunteers, and I accept all risks inherent in its intended use. I agree to indemnify & hold harmless FBDP & its officers against any and all claims, including but not limited to: Trips or Falls, Dog - on - Person Impacts, Dog - on - Dog Impacts, scratches, bruises, etc. Fees and PaymentWould you like to make a donation the park while we're here? Yes please! No thanks, maybe later Add me to the list of volunteers! Donation Amount Would you like a name attached to the donation? Yes please! No Thanks, anonymous is for me Donation dedicated to: Total Credit Card*Card Details Cardholder Name NOTES: Membership automatically includes a subscription to the Dog Park newsletter. We do not keep a record of your credit card on file Any Questions, notes or feedback?It's important to us that this form is efficient and effective - any ideas you might have could be important to improving the process. Thanks!A little bit of about you?We prefer to patronize our members when services are needed for the park and like to provide referrals for members needing their services. Let us know if you own a business or services you offer OR if you have a special skill like carpentry etc. NameThis field is for validation purposes and should be left unchanged.
