GUEST APPLICATION AND AGREEMENT, DOG PARK OF RARITY BAY

INSTRUCTIONS FOR USING THIS ON-LINE APPLICATION:
Since the form must be signed by both Guest and DPRB Member, fill out the form using your computer,
then print out the pages with the form data (File, Print).
Also attach current Rabies Immunization record and proof of veterinarian checkup within the last year.
Send completed form to Membership Chair, Kathy Davenport, 204 Watercrest Dr., Vonore 37885

GUEST INFORMATION

Name(s) of Adult Guest(s)

Address
Home Phone Cell Phone E-mail Address

Veterinary Clinic Phone


Name of sponsoring DPRB Member



DOG INFORMATION

#1 Dog’s Name Breed D.O.B. Sex Wt.

Color Spayed/neutered?

Any history of aggression toward people or other dogs? If yes, attach information.



#2 Dog’s Name Breed D.O.B. Sex Wt.

Color Spayed/neutered?


Any history of aggression toward people or other dogs? If yes, attach information.


#3 Dog’s Name Breed D.O.B. Sex Wt.

Color Spayed/neutered?


Any history of aggression toward people or other dogs? If yes, attach information.

Each dog must by law have evidence of rabies vaccination.


GUESTS AGREE:

  1. That they have been provided with the Park rules and that they agree to abide by the rules as currently in effect and as may be later modified by the Board or by the members of DPRB.
  2. That Guests may use the Park only for dogs listed on the Guest Application that have current rabies immunization records on file and that have been approved by DPRB.
  3. That the Board of DPRB may limit, suspend or terminate the privileges to use the Park for any reason and without hearing.
  4. That they understand that they may utilize the Dog Park for their dogs only while accompanied by a member of DPRB.

ASSUMPTION OF RISK, RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT

I understand that the use of the dog park (“the Park”) means that I am taking certain risks of injury or damage to myself, my dogs, my property, and to others.  I recognize that injuries and damage, including serious injury and damage and death, may result when dogs are present, even if they appear to be supervised and controlled.  I hereby assume these risks to and for myself, my dogs and my property.  I agree to inspect the Park and persons and dogs using the Park when I arrive and to continue to stay vigilant.  I agree that it is my sole responsibility to determine whether the Park itself and any particular situation involving other persons and dogs are safe for my dogs, my property and me.

In exchange for the privilege to use the Park in accordance with the rules, I hereby release and discharge the Dog Park of Rarity Bay, Inc. and Rarity Bay Community Association, Inc., and their boards, officers, directors, members, employees, volunteers and agents from any and all liability, claims, demands, causes of action, loss, damage or injury to person or property, including from any death or serious injury, that may result from any incident, action or inaction while I or my guests or my dogs are on the Park premises or while attending any event sponsored by the Dog Park of Rarity Bay, Inc.

I also agree to be responsible for myself, my guests and my dogs and for any liability, loss, damage or injury caused by me, my guests and/or my dogs and to hold harmless and indemnify the Dog Park of Rarity Bay, Inc. and Rarity Bay Community Association, Inc. and their boards, officers, directors, members, employees, volunteers and agents from any and all liability, claims, demands, causes of action, including for attorneys fees and expenses, loss, damage or injury to any person or property, including from any death or serious injury, that may result from any incident, action or inaction while I or my guests or my dogs are on the Park premises or while attending any event sponsored by the Dog Park of Rarity Bay, Inc.

I have the legal capacity to sign this Agreement, including the Assumption of Risk, Release, Waiver and Indemnification Agreement. This Agreement shall be binding upon my heirs, beneficiaries, next of kin, personal representative or executor and assignees

This is a release of liability and a waiver and indemnification agreement. Do not sign if you do not understand or do not agree with its terms.

I HAVE CAREFULLY READ THIS AGREEMENT, INCLUDING THE ASSUMPTION OF RISK, RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT, AND UNDERSTAND IT AND FULLY AGREE WITH ITS TERMS.

Guest Signature __________________________________ Date ____________________

Member Signature ________________________________ Date ____________________

FORM APPROVED BY BOARD OF DIRECTORS: OCTOBER 7, 2010


 

RULES AND REGULATIONS

Please use this link to review and accept the current
Dog Park of Rarity Bay Rules and Regulations