Online Membership Application

A three-step process!

  1. Complete an online application (below).

  2. Make your payment using PayPal.com secure connection payment processing.

  3. Receive a confirmation e-mail.


Sign-up

Payment

Confirmation


Dog Owner Information
Please complete ALL FIELDS. We require this information to send you membership news and information, your parking permit and related materials. We respect your privacy and WILL NOT sell or trade your personal information.
 

Name:

Street:

City:

State:

Zip:

Phone:

Email:

Emergency Contact:

Phone:

   


Pet #1 Information

Name:

Sex:

Age:

Weight:

lbs.  

Color(s):

and:

Breed/mix:

 

and:

 

Current dog license

Current with vaccinations

Healthy (no contagious diseases)

Name tag or other ID


Pet #2 Information

Name:

Sex:

Age:

Weight:

lbs.  

Color(s):

and:

Breed/mix:

 

and:

 

Current dog license

Current with vaccinations

Healthy (no contagious diseases)

Name tag or other ID


Pet #3 Information

Name:

Sex:

Age:

Weight:

lbs.  

Color(s):

and:

Breed/mix:

 

and:

 

Current dog license

Current with vaccinations

Healthy (no contagious diseases)

Name tag or other ID
   

By typing your initials
in this box
you agree that you:

  1. Have read, understand and will abide by the Dog Park Rules (click link to open in new window).

  2. Are electronically signing the Liability Waiver (click link to open in new window).

  3. Agree that you have been aware that you are entering an off-leash dog park and you enter at your own risk. Dog owners or guardians are legally responsible for any damage, injury, or illness your dog(s) may cause to itself, other dogs, other people or yourself. Neither P.A.W.S., the City of Vacaville, their officers, employees, agents or volunteers will be responsible in any way for people or their pets while in the dog park.


People Aware of the
Well-being of the Speechless

Janine Jordan
Dog Park
Vacaville, California

Sponsors!
Thank you to the following for their generous donations!

Solano Pet Emergency Clinic


PAWS is a 100% Volunteer, Non-Profit Organization.
The Janine Jordan Dog Park is located in Vacaville, California USA


Copyright ©2003-2007 PAWS
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