Saturday, September 19 10 am 1 pm2175 S 1st Ave, Forest
ParkBring the family, bring the dog and celebrate with us as we
open the newest off-leash dog area in the forest Preserves!Enjoy
the area for free, and apply for yourannual membership
on-site.(Your application will be processed afteryou submit a
signed current veterinary report. Find the forms at
fpdcc.com/dogareas )Miller MeadowOff-Leash Dog
Areafpdcc.com/dogareasVisit the Forest Preserve Districts other
off-leash dog areas: Beck Lake, 1000 NE River Rd, Des Plaines
Bremen Grove, 16061 Oak Park Ave, Tinley Park Free Preview Ribbon
Cutting Volunteer Information Dog Supply Vendors
2015-2016 APPLICATION FOR OFF-LEASH DOG AREAS General
Headquarters: 536 N. Harlem Avenue, River Forest, IL 60305 (800)
870-3666 Arnold Randall, General Superintendent
fpdcc.com/recreation/dog-friendly-area/ PERMITS ARE VALID OCTOBER
1, 2015 TO SEPTEMBER 30, 2016Page 1 of 2 Please complete BOTH pages
of this application, incomplete applications will not be accepted.
Applicant (Owner) Information Name: Drivers License #:Address:
City:State: Apartment/Unit #:Date of Birth: Phone #:Email: Number
of Dogs (3 Maximum):Are you a resident of Cook County?: Yes No
Please provide plate numbers for vehicles for each potential
vehicle that will be onsite at the OLDA below: Plate #1:Plate
#2:Plate #3: Please select your off-leash dog area:Beck Lake
(Glenview, IL)Bremen (Tinley Park, IL)Miller Meadow (Maywood,
IL)Payment Information - Fees are non-refundable and are not
pro-rated Fees: Cook County Resident: $55.00 per dog &
Non-resident $110.00 per dog Check:#Check Amount: $ Credit Card
(Visa/MasterCard Only): Expiration Date: CCV Code (last 3 digits on
the back of card): Waiver of Liability and Signature I, the
undersigned, will indemnify, defend and hold harmless, the Forest
Preserves of Cook County, its agents, employees, officers,
servants, Off Leash Dog Area committee members, donors,
instructors, volunteers and any and all other associates, from and
against any and all actions, in law or in equity, from liability
claims for damages, demands or judgments to any person or property
which may result now or in the future from the conduct of this
event/activity.I understand that this waiver includes any claims
based on negligence, action or inaction of any of the parties. I,
the undersigned, have read and understand all rules, regulations
and policies and will be responsible for adherence. I do hereby
acknowledge and accept that I have voluntarily applied to
participate and utilize with my dog(s), the Forest Preserves of
Cook County Off Leash Dog Areas. I fully understand and acknowledge
that unleashing my dog and being physically present at the off
leash dogarea involves risks of injury to me, and individual
accompanying me, other persons, my dog(s) and other dog(s)
including, but not limited to, risks resulting from aggressive
dogs, unpredictable behavior and lack of proper training.I further
understand and assume that despite the effort of the Forest
Preserves of Cook County to ensure owners have complied, there is
risk that not all dogs present in the off leash dog areas are
licensed and vaccinated for rabies as may be required, which could
result in injury to a person or a dog. Signature:Date:
2015-2016 APPLICATION FOR OFF-LEASH DOG AREAS General
Headquarters: 536 N. Harlem Avenue, River Forest, IL 60305 (800)
870-3666 Arnold Randall, General Superintendent
fpdcc.com/recreation/dog-friendly-area/ PERMITS ARE VALID OCTOBER
1, 2015 TO SEPTEMBER 30, 2016Page 2 of 2 The following must be
completed by a licensed veterinarian. Immunization Dates: Please
indicate whether immunization is 1 yr. or 3 yr. and provide date of
immunization
DistemperHepatitisParvovirusLeptospirosisRabiesBordetella Dog 1
Name: ____________ 1 yr.3 yr. 1 yr.3 yr.1 yr.3 yr.1 yr.3 yr.1 yr.3
yr.1 yr.3 yr. Dog 2 Name: ___________ 1 yr.3 yr.1 yr.3 yr.1 yr.3
yr.1 yr.3 yr.1 yr.3 yr.1 yr.3 yr. Dog 3 Name: ___________ 1 yr.3
yr.1 yr.3 yr.1 yr.3 yr.1 yr.3 yr.1 yr.3 yr.1 yr.3 yr. Fecal Sample
Test Date: Test must be completed within 120 days of applying for
permit Dog 1 Name: ___________ Positive NegativeDate of Result: Dog
2 Name: ___________ Positive NegativeDate of Result: Dog 3 Name:
___________ Positive NegativeDate of Result: Veterinarian
Information: Name of Licensed Veterinarian (please print): Street
Address:City: State:Zip Code:Phone: At the time of examination for
the dog(s) listed above, the dog(s) appears free of all
communicable diseases (examination date must be within (1) year of
applying for permit. Veterinarian Signature:
___________________________________ Veterinarian License Number:
_____________________ Veterinarian Address Stamp (if applicable):
Submit completed applications via: Mail: 536 N. Harlem Ave, River
Forest, IL 60305 Attn. Permit Dept. Fax: (708) 771-1071Email:
[email protected] August 12, 2015 Dear Future Miller
Meadow Off Leash Dog Area (OLDA) Patrons, Miller Meadow OLDA
located in Maywood, IL will be under construction until September
18, 2015. This is a new OLDA that is going to be added into the
FPCC portfolio that has amenities such as a seven (7) acre fenced
in area along with a large outdoor shelter to provide shade to
patrons.Starting August 12, 2015, you will be able to apply online,
in-person, by mail or fax to obtain your 2015-2016 OLDA membership.
Individual dog owners will receive a membership card (with lanyard)
and a key in order to grant access to our three (3) OLDAs. OLDA
memberships may be purchased online through our website at
www.fpdcc.com. New
membersmustfirstsetupanaccountbeforemakingapurchase.Seethestepsbelowto
setup your account. 1.Go to www.fpdcc.com 2.Click Permits 3.In the
pink box, at the top of the page, click Create an Active Net
Account 4.Click Create an Account After setting up your online
account, click on the Memberships & Passes tab at the top of
the screen and follow the prompts to make your purchase
online.Completed applications, which includes a submitted completed
veterinarian form, will be processed and mailed to your home
addresswithin10-14businessdays.Keysmailedforthe2015-2016membershipseason
cannot be used for entry until September 19, 2015.Our current Off
Leash Dog Areas are: Miller Meadow (Maywood) NEW! Beck Lake
(Glenview) Bremen (Tinley Park) We also have new exciting volunteer
opportunities for this new OLDA and invite you to apply using the
links identified below. Caretaker Position
https://ec.volunteernow.com/recruiter/index.php?recruiterID=1405&class=OppDetails&oppGuid=F46FBC5A-465D-41CF-B6F6-DFFB310041EELead
Caretaker Position
https://ec.volunteernow.com/recruiter/index.php?recruiterID=1405&class=OppDetails&oppGuid=61C4A878-981B-4B99-9840-42B4DFF37520
If you have any questions, please feel free to call the Permits,
Concession and Volunteer Resource Department (PVC) at 800-870-3666,
option 2. Thank you! Daniel E. Betts Director of Permits,
Concessions & Volunteer ResourcesForest Preserve District of
Cook County