Town of New Market Park Community Pool

9670 Cadet Rd., New Market, Virginia 22844

Summer’s End Pup Pool Party Registration Form

Sunday, September 17, 2017

1:00 p.m. – 4:30 p.m. $3.00 entrance fee per dog

Participant’s Name______

Complete Address______

City______State______Zip______

Home Phone______Email______

Age (if under 21) ______* A parent or guardian must attend the dog pool party with children under 18 years of age.

Because of high attendance, we will be separating the Pup Pool Party into two time slots.

Please choose your preferred time slot:

1:00 p.m. to 2:30 p.m. ______3:00 p.m. to 4:30 p.m. ______

Please keep in mind if one fills up, you may be asked to consider the alternative.

Pet Information:

Name: ______Age______Breed______

Weight______Sex______Spayed/Neutered? ______

Release of Claims (Parent or Guardian must sign for those under age 18):

I, the undersigned, do agree to indemnify and hold harmless the Town of New Market, Pool Management, associated pool and maintenance employees and agents thereof, from any and all claims or liability, including attorney’s fees and costs for any personal injury or other damage suffered as a result of participating in the Summer’s End Pup Pool Party. I understand that the pet owner or handler is responsible for the action of their dog(s), compliance with the pool rules and accepts full responsibility for any incidents that may occur. I further understand that the owner or handler will also be required to provide a copy of the dog’s immunization record prior to the commencement of activity.

Safety is always our concern: If any safety rules are broken during the pool party, you will be asked to leave.

Summers End Pup Pool Party Rules

1. NO PEOPLE are allowed in the pool with the dogs at any time.

2. Users of the facility do so at their own risk. Owners are responsible for the actions of their dog. Neither the New Market Community nor any related employees and providers for the New Market Pool shall be liable for any injury or damage caused by any dog in the facility.

3. Registration is required to participate.

4. Pool Area is limited to 50 dogs at one time.

5. All Dogs in heat are not allowed to participate.

6. Dogs must be under voice control of owner at all times.

7. Dogs must be removed at the first sign of aggression.

8. Dogs must be leashed when entering and exiting the pool facility.

9. Dogs must be accompanied by owner that is 18 years of age or older.

10. Owners are limited to two dogs’ participation at any one time.

11. All dogs must have current county license and shots. Proof does not include tags.

12. Owner must clean up dog feces. Seal waste in the provided plastic bags before disposing in designated receptacles.

13. Dangerous dogs, puppies under 6 months, dogs with parasites or any aggressive, non-socialized dogs are not allowed to participate.

Print Name______

Signature______Date______