Off-Leash Dog Area Permit - Forest Preserve District Of Dupage County

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Off-Leash Dog Area Permit
Instructions
Apply for a permit one of four ways. Have questions? Call Visitor Services at (630) 933-7248.
Office Use Only
• Visit 24/7. Click “Register” and “Purchase Permits.”
Permit #
• Bring this completed form to Visitor Services at 3S580 Naperville Road in Wheaton Monday –
Friday 8 a.m. – 4 p.m.
Fee $
• Fax this completed form to (630) 933-7217. (Add five to seven business days for processing.)
By
• Mail this completed form to Forest Preserve District of DuPage County, P.O. Box 5000, Wheaton,
IL 60189. (Add five to seven business days for processing.)
Date
Dog Owner’s Information The dog’s owner must complete and sign this form.
Dog Owner’s Name
Driver’s License #
Street Address
Apt/Unit #
City
State
Zip
DuPage Resident?  Yes  No
Primary Phone Number
Email
Primary Animal-Care Facility
Phone Number
If you’re applying for a daily permit, which day will you use it?
Which area will you primarily use?  Blackwell  East Branch  Greene Valley  Hawk Hollow  Mayslake  Springbrook Prairie
Dog’s Name Use second form if more than three.
Breed
Rabies Tag #
Exp. Date
County* & State
no “mixed” or “mutts”
DD/MM/YY
*If you have lived in DuPage County for more than 30 days, your dog must have a DuPage County rabies tag.
Fees Fees are nonrefundable, and permits are nontransferable. Annual permits are valid January – December only
.
Dog Owner DuPage County resident
Annual Permit: First dog $40
First dog after Sept. 1 $20
Additional dogs $8 each
Daily Permit:
$8 per dog per day
Nonresident
Annual Permit: First dog $150
First dog after Sept. 1 $75
Additional dogs $25 each
Daily Permit:
$20 per dog per day
65 or older
One free annual permit per household per year
Are you 65 or older?  Yes  No If yes, please provide your date of birth.
Active U.S. military
One free annual permit per household per year
personnel or honorably
Are you active U.S. military personnel or honorably discharged U.S. veteran?  Yes  No
discharged U.S. veteran
If yes, please provide proof of active military status or honorable discharge.
Payment Information
 Cash Do not mail.
 Check Make payable to Forest Preserve District of DuPage County
 Visa
 MasterCard
 Discover
 American Express
Credit Card Number
Exp. Date
Billing Zip Code
Name on Credit Card
Amount to Charge $
Signature
You must sign below the rules AND the waiver on Page 2.
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