PAWS PARK REGISTRATION FORM
Open Daily, Sunrise to Sunset
Owner's Name:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone:
*
Format: (000) 000-0000.
Email:
*
example@example.com
RESIDENT: $65 ($20/ADDITIONAL DOG)
NON-RESIDENT: $100 ($40/ADDITIONAL DOG)
REPLACEMENT KEY CARD: $15
Number of Dogs:
*
Fee Paid:
*
Residency:
*
Resident
Non-Resident
Replacement Key Card
Registration Type:
*
New
Renewal
A valid Paws Park key card is required for entry. Key cards are non-transferable and may not be shared.
Dog Information
Dog's Name:
*
Breed:
*
Color:
*
Sex:
*
Male
Female
Age:
*
Spayed/Neutered:
*
Yes
No
Vaccinations - Proof Required:
*
Rabies
Distemper
Hepatitis
Para-Influenza
Bordetella
Parvovirus
Stool Specimen Exam Proof:
*
Yes
No
Rabies Tag/Certificate #:
*
City License #:
*
Dog #2 Information
Dog's Name:
Breed:
Color:
Sex:
Male
Female
Age:
Spayed/Neutered:
Yes
No
Vaccinations - Proof Required:
Rabies
Distemper
Hepatitis
Para-Influenza
Bordetella
Parvovirus
Stool Specimen Exam Proof:
Yes
No
Rabies Tag/Certificate #:
City License #:
Dog #3 Information
Dog's Name:
Breed:
Color:
Sex:
Male
Female
Age:
Spayed/Neutered:
Yes
No
Vaccinations - Proof Required:
Rabies
Distemper
Hepatitis
Para-Influenza
Bordetella
Parvovirus
Stool Specimen Exam Proof:
Yes
No
Rabies Tag/Certificate #:
City License #:
Upload Proof of Vaccinations
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Upload Proof of Stool Specimen Exam
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Waiver and Release of All Claims and Assumption of Risk
Please read this form carefully and be aware that in signing up and participating in the programs, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this registration. I recognize and acknowledge that there are certain risks of physical injury as a participant in this program(s), and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward may have (or accrue to me or my child/ward) as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in any programs or activities against the Park District, including its officials, agents, volunteers and employees. I have read and fully understand the above important information, warning of risk, waiver and release of all claims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect as an original form signature.
By signing below, I acknowledge I have received a copy of the 2026 Paws Park Rules & Information and agree to abide by them. I understand that the rules are subject to change without prior notice. I have read and fully understand the waiver and understand my signature, or my guardian's signature if I am under 18, is required to take part in park district programs.
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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