Tol Unleashed Membership Application Packet v2

8/9/2019 Tol Unleashed Membership Application Packet v2

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Form must be submitted including fee, copy of vaccinations certicate and proof of dog license.Mail completed forms to Toledo Unleashed @ 2619 Powhattan Pkwy, Toledo, OH 43606.Access key, dog tag(s) and any other materials will be available during a mandatory informational meeting. SeeToledounleashed.org for meeting dates, times, and locations.

GUARDIAN INFORMATION

First Name_____________________________ Last Name______________________________

Full Street Address______________________________________________________________

City_____________________________ State____________________ Zip__________________

Home Telephone: ( ) _______________ Alternate Telephone ( ) ________________

E-Mail____________________________________

Other Authorized Users (include name and address of dog handler(s), if not listed above)

(1)________________________________________________________

(2)________________________________________________________

PET INFORMATIONDOG #1

Name:_______________________________ Age_________ Breed_____________________

Color/Markings________________________

Municipality Issuing License_____________________________ License No.________________

License Expiration Date (if outside Lucas County) ___________________

____Rabies ____ DHLP ____ Bordatella _____ Parvovirus (must include proof of vaccinations)

[please attach Additional Dog Application Form if applying for membership with more than 1 dog]

STANDARD PARK REGISTRATION FEESANNUAL MEMBERSHIP (EXPIRES JANUARY 31ST):

_____ PRIMARY DOG - $60.00

_____ ADDITIONAL DOG(S) - $25.00 each

DOG PARK PATRON OPPORTUNITIES

_____ MARLEY - $500.00

Includes annual membership & Toledo Unleashed bandana for up to 3 dogs, Toledo Unleashed

t-shirt, guardian & dog(s) named on in-park patron sign.

_____ MARMADUKE - $250.00

Includes annual membership & Toledo Unleashed bandana for up to 3 dogs, Toledo Unleashed

t-shirt, guardian & dog(s) named on in-park patron sign.

_____ TOTO - $100.00

Includes annual membership & Toledo Unleashed bandana for 1 dog, Toledo Unleashed

t-shirt, guardian & dog named on in-park patron sign.

$_______ TOTAL AMOUNT INCLUDED WITH APPLICATION

(Ofce Use Only) Date_________________ Fee Paid____________ Dog Park Rules Issued______

KEY Issued___________ Waiver Signed _______ Clerk Initials______________

3-day Trial/Vacation Memberships*Whether you are wanting to give the park a test

run, or just in town for a weekend...3-day trials

and/or Vacation Memberships are available by

emailing [email protected].

*Please allow 7-10 days for short-term memberships

TOLEDO UNLEASHEDPrimary Dog Park Application


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Please complete this form, along with primary application form if you are seeking membership for multiple

dogs.

GUARDIAN INFORMATION

First Name_____________________________ Last Name______________________________

Home Telephone: ( ) _______________

PET INFORMATIONDOG #2

Name:_______________________________ Age_________ Breed_____________________

Color/Markings________________________




DOG #3

Name:_______________________________ Age_________ Breed_____________________

Color/Markings________________________




DOG #4

Name:_______________________________ Age_________ Breed_____________________

Color/Markings________________________




DOG #5

Name:_______________________________ Age_________ Breed_____________________

Color/Markings________________________




DOG #6

Name:_______________________________ Age_________ Breed_____________________

Color/Markings________________________Municipality Issuing License_____________________________ License No.________________



REGISTRATION FEES ARE LISTED ON PRIMARY APPLICATION

PLEASE NOTE: NO MORE THAN 3 DOGS ARE PERMITTED WITH ONE PERSON INSIDE THE PARK.

(for example: 6 dogs must be accompanied by 2 adults - 18 and over - at all times)

(Ofce Use Only) Date_________________ Clerk Initials______________

TOLEDO UNLEASHEDAdditional Dog Application


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PLEASE READ THIS FORM CAREFULLY, INITIAL NEXT TO EACH PARAGRAPH, AND BE AWARE

THAT IN CONSIDERATION FOR PERMISSION TO USE THE CITYS DOG PARKS, YOU WILL BE

EXPRESSLY ASSUMING THE RISK OF, AND LEGAL LIABILITY FOR, AND WILL BE WAIVING AND

RELEASING ALL CLAIMS FOR INJURIES, DAMAGES, OR LOSS WHICH YOU AND/OR YOUR DOG

MAY SUSTAIN AS A RESULT OF PARTICIPATING IN, ANY AND ALL ACTIVITIES CONNECTED WITH

OR ASSOCIATED WITH THE USE OF THESE FACILITIES AND THE SURROUNDING AREAS.

_____ I hereby acknowledge that I have voluntarily applied to participate and use with my dog(s) the dog parks

(Parks) owned and/or operated by Toledo Unleashed. I understand that the act of unleashing my dog(s)

and being physically present within the Parks necessarily involves a risk of injury to me, any persons that

accompany me, other people using the Parks, my dog(s), and other dogs.

_____ I understand that these risks are entirely my responsibility and I expressly assume that responsibility

knowingly and voluntarily. When this Waiver and Release refers to my dog, it includes me whether or not I

am the legal owner of the dog, since I am the person responsible for the dog while using the Parks. Furthermoredog shall refer to all dogs included on the Toledo Unleashed Dog Park Application. I understand that the

permit/license system is not established to guarantee that dogs in the Parks are safe or healthy. I also understand

that dog activities are intended to provide a fun and rewarding experience for a dog and its owner/handler.

However, despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there

is still a risk of serious injury, including death, to the dog, its owner/handler, other persons, or other animals.

_____ I further understand that dogs, irrespective of their training and usual past behavior or characteristics,

may act or react unpredictably at times based upon instinct or circumstances, and that not all hazards and

Dangers associated with dog activities can be foreseen. I agree to assume the risk of any injury to me, any

individuals (including children) that accompany me to the Parks, and my dog(s). I understand that this risk

may result from erce, aggressive, vicious and dangerous dogs which may be present in the Parks. I furtherunderstand and assume the risk that all dogs in the Parks may not have been vaccinated for bordatella,

distemper, parvovirus, or rabies, all of which could result in injury to me, any individuals (including

children) accompanying me, and my dog(s). I also understand that there are certain inherent risks, including

the propensity of a dog to behave in a dangerous way. Additional risks include, but are not limited to: the

inexperience or irresponsibility of a dog owner/handler; the inability to predict a dogs reaction to sound,

movement, objects, persons, or other animals; dog ghts, dog bites, and injuries to humans and other dogs;

dog theft or unlawful capture; dog escape over or under fences; plants in the area that may be poisonous to

dogs or people; mosquitoes, ticks, chiggers, eas, or other insects that may be present; and wild animals, such

as skunks, raccoons, opossums, or stray dogs that could be present in the Parks, all of which might injure or

infect my dog(s); slip and falls, premises defects, equipment failure, failure in instruction/supervision, and othercircumstances inherent to dog and/or outdoor activities. I knowingly and voluntarily accept responsibility for

all of these risks in exchange for the privilege of using the Parks.

_____ It is my understanding that no agents or employees of Toledo Unleashed will supervise the Parks at

any time and I therefore expressly assume responsibility for all risks associated with the Parks, as well as any

xtures and equipment that may be located there in an unsupervised manner.

(DOG PARK WAIVER CONTINUED ON NEXT PAGE)

TOLEDO UNLEASHEDDog Park Waiver & Release


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_____ I understand that I will not have access to the Park until I have successfully completed the mandatory

informational meeting (to be offered at least once a month). See toledounleashed.org for dates, times, and

locations.

_____ In signing this Waiver and Release, I fully release and discharge Toledo Unleashed, its partners,

employees and volunteers, and others working on behalf of the Parks from any and all claims, demands,

damages, rights of action, whether present or future, known or unknown, anticipated or unanticipated, resulting

from or arising out of my use or intended use of the Parks. I fully and forever release and discharge ToledoUnleashed, its partners, employees and volunteers, and others working on behalf of the Parks from any and all

negligent acts or omissions with regard to the Parks and intend to be legally bound by this Release. I assume

sole responsibility for, and agree to indemnify and hold harmless Toledo Unleashed, its partners, employees and

volunteers, and others working on behalf of the Parks for any damages for bodily injury, death, or damage, or

loss to property, including legal and expert witness fees.

I HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND UNDERSTAND ITS CONTENTS. I

HAVE ALSO RECEIVED A COPY OF THE DOG PARK RULES AND REGULATIONS, AND AGREE

BY AFFIXING MY SIGNATURE BELOW TO COMPLY WITH THOSE RULES AND REGULATIONS.

I ATTEST THE INFORMATION CONTAINED IN MY APPLICATION (BOTH PRIMARY ANDADDITIONAL) IS TRUE AND ACCURATE, TO THE BEST OF MY ABILITY. I WILL ALSO INFORM

OTHERS THAT I MAY BRING TO THE PARKS (INCLUDING CHILDREN) OF THESE RULES AND

WILL ENSURE THEIR COMPLIANCE WHILE USING THE PARKS. MY SIGNATURE CONFIRMS

THAT I AM ALSO NOT AWARE OF ANY INCIDENTS IN WHICH MY DOG(S) HAS/HAVE SHOWN

AGGRESSIVE, FIGHTING, OR BITING BEHAVIOR TOWARDS PEOPLE OR OTHER ANIMALS.

________________________________________ ____________________Dog Owner (Signature) Must be over 18 Date

________________________________________Dog Owner (Printed name)

________________________________________ ____________________Additional handler (Signature) Date

________________________________________Additional handler (Printed name)

If Additional Handler is under age 18, signature by a parent or legal guardian is required:

________________________________________ ____________________Parent/Guardian (Signature) Date

________________________________________Parent/Guardian (Printed name)

TOLEDO UNLEASHED DOG PARK WAIVER - PAGE 2


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For the health and safety of our dogs and everyone who enters the dog park gated area, we have developed the

following rules:

General Rules & Regulations

-- Please do not let people or dogs in without key and membership dog tag. This protects our park.-- Owners are legally responsible for their dogs and any injuries caused by their dogs

-- Dogs must be leashed prior to and upon leaving the dog park.

-- Dogs with a history of, or who have exhibited aggressive behavior are prohibited.

-- Dogs must be healthy, fully vaccinated (Rabies, DHLP, Bordatella & Parvovirus), dewormed, licensed and

wearing identication tags.

-- Puppies under ve (5) months old are prohibited.

-- Toledo Unleashed requires that you have your dog spayed or neutered before participating in the dog park.

Fighting and dominant behaviors are much more likely to occur with intact animals.

-- It is also recommended that your dog(s) be kept on a ea preventative such as Advantage or Frontline.

-- No people food or dog food is allowed in the park.

-- Owners must clean up after their dogs: no fecal waste may be left in park.-- Anyone under eighteen (18) years old must be accompanied by an adult. Younger children must be closely

supervised.

-- Each person eighteen (18) years and older may bring no more than three (3) dogs in the park at any time.

-- Dogs must be supervised at all times. Please do not leave the Park for any reason.

-- Owners must maintain vocal control over their dog(s) at all times.

-- The dog park is open from sunrise to sunset, unless otherwise stated at the Park.

-- While all dogs are welcome in the Big Dog Area of the park (at their own risk), only small dogs (under 30lbs)

are permitted inside the Small Dog Area. This is for the comfort and protection of all of our members.

-- Only dog owners or caregivers and dogs listed on an approved Toledo Unleashed Dog Park Application for

user privileges may enter the Dog Park.-- Please do not bring toys, balls or other items to the park unless you are wishing to donate them to the park.

Members are not premitted to leave the park with any toys (even if they brought them in).

Entering the ParkThe entrance gate leads into a safety pen where dogs are unleashed before entering the dog park. From the

safety pen, there are two smaller gates: one leading to the small dogs area, and one leading to the all dogs

area. The safety gate design prevents dogs from escaping and facilitates leashing and unleashing the animals. It

also prevents small dogs and their owners from having to enter the all dogs area.

For your safety, please abide by these guidelines when entering and leaving the park:

-- Do not open the outside gate if the inside gate is open. One family of dogs at a time in the inside enclosure

(between the double gates) at a time.-- Remove dogs leash inside the double gated area. Make sure the gate is closed after entering the park.

-- Do NOT leave a leash on dogs in park. This can actually cause an altercation as a dog may feel restricted

in its ability to protect itself. Also, dogs feel more protective of their owners when leashed. DO carry your

leash into the park in case you need to remove your dog in an emergency situation.

-- Do not to bring any toys that a dog may be particularly attached to. These items may provoke possessive or

aggressive behavior or may be destroyed through rough play.

-- When new dogs enter the facility it can get very congested at the gate area, so move your dogs away,

giving the new dogs a chance to get acclimated.

[Dog Park Rules Continued on next page]

TOLEDO UNLEASHEDDog Park Rules


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Documents

Tol Unleashed Membership Application Packet v2