Membership

Ossining Dog Park Membership Application:

You can either fill out the form below or download a printable version of the application, from the bottom of this page, to be mailed in with your donation check.

Name: *

Street Address: *

City, State, Zip: *

Home Phone Number:

Alternate Phone Number:

Cell Phone Number:

E-mail address:

Dog 1

Name of Dog 1: *

Breed of Dog 1: *

Birthday/Age of Dog 1: *

Male/Female: *

Male

Female

Spayed/Neutered: *

Spayed

Neutered

Rabies Vaccination Date: *

Dog 2

Name of Dog 2:

Breed of Dog 2:

Birthday/Age of Dog 2:

Male/Female:

Male

Female

Spayed/Neutered:

Spayed

Neutered

Rabies Vaccination Date:

Dog 3

Name of Dog 3:

Breed of Dog 3:

Birthday/Age of Dog 3:

Male/Female:

Male

Female

Spayed/Neutered:

Spayed

Neutered

Rabies Vaccination Date:

Dog 4

Name of Dog 4:

Breed of Dog 4:

Birthday/Age of Dog 4:

Male/Female:

Male Female

Spayed/Neutered:

Spayed

Neutered

Rabies Vaccination Date:

Important Points to Consider before coming to park, complete list of rules and regulations may be obtained on website.

1. While in the park, children must be under adult supervision at all times. No running, screaming, etc.

2. No smoking or eating in the park.

3. You are responsible for your dog’s feces.

4. Dogs deemed aggressive may be banned.

5. The park is open from dawn to 9pm only.

6. ALL DOGS MUST be off leash while in and entering the park.

7. Before opening the second gate into the park, the first (outside) gate MUST be closed and locked.

I agree to abide by the Ossining Dog Park rules: *

I agree

Attachment	Size
ODP2009MembershipForm.pdf	437.12 KB