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: fpdcc.rvp@cookcountyil.gov 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