Miller Meadow

Off-Leash Dog Area

Saturday, September 19
10 am 1 pm
2175 S 1st Ave, Forest Park
Visit 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
Bring 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 your
annual membership on-site.

fpdcc.com/dogareas

(Your application will be processed after you

submit a signed current veterinary report. Find
the forms at fpdcc.com/dogareas )

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, 2016

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 dog area 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:

Page 1 of 2

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, 2016

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
Dog 1 Name:

Distemper
1 yr. 3 yr.

Hepatitis
1 yr. 3 yr.

Parvovirus
1 yr. 3 yr.

Leptospirosis
1 yr. 3 yr.

Rabies
1 yr. 3 yr.

Bordetella
1 yr. 3 yr.

1 yr. 3 yr.

1 yr. 3 yr.

1 yr. 3 yr.

1 yr. 3 yr.

1 yr. 3 yr.

1 yr. 3 yr.

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:
___________
Dog 3 Name:
___________

Fecal Sample Test Date: Test must be completed within 120 days of applying for permit
Dog 1 Name:
___________

Positive

Negative

Date of Result:

Dog 2 Name:
___________

Positive

Negative

Date of Result:

Dog 3 Name:
___________

Positive

Negative

Date of Result:

Veterinarian Information:
Name of Licensed Veterinarian (please print):
Street Address:
State:

City:
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) 771-1071
Email: fpdcc.rvp@cookcountyil.gov
Page 2 of 2

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
members must first setup an account before making a purchase. See the steps below to
setup your account.
1.
2.
3.
4.

Go to www.fpdcc.com
Click Permits
In the pink box, at the top of the page, click Create an Active Net Account
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
address within 10-14 business days. Keys mailed for the 2015-2016 membership season
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=F4
6FBC5A-465D-41CF-B6F6-DFFB310041EE

Lead Caretaker Position

https://ec.volunteernow.com/recruiter/index.php?recruiterID=1405&class=OppDetails&oppGuid=61
C4A878-981B-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 Resources
Forest Preserve District of Cook County