RANCHO SIMI RECREATION AND PARK DISTRICT

 "AGGRESSIVE DOG COMPLAINT FORM"

 
The use of the dog park is a privilege, with inherent risks. In order to help reduce the risk of injury to dogs and people, aggressive dogs are forbidden from entering. Park Rule Number 8 specifically states:
 
  "Aggressive dogs are not allowed in the dog park. Dogs exhibiting aggressive behavior are to be IMMEDIATELY removed from the park. An aggressive dog is defined as any dog that is determined by the District to pose a threat to dogs or people by virtue of a single incident or history of unprovoked acts of aggression against people or animals. The District reserves the right to prohibit any type of breed of dog from entering the Dog Park."
 		  
You can help the Park District enforce this rule. If you or your dog has been the victim of an aggressive dog, or if you have witnessed an aggressive dog in the park, please take a few minutes to complete the form below. Note that you may also email pictures to the email address below to be included with this information. Please know that although your complaint will be taken seriously, you will not receive notification of any action taken by the Park District. Thank you for your participation.
 


PLEASE TELL US ABOUT YOURSELF:

Name: 

Address: 

City:      State: 

Phone:      Email: 

    I don't want to be contacted



PLEASE TELL US ABOUT THE INCIDENT:

On this Date:      Day of Week (Sun, Mon...):      Time: 

Which Dog Park is it:     Simi Dog Park     Oak Canyon Dog Park

Location:    Big Dog Side           Small Dog Side

The following incident occurred:





PLEASE DESCRIBE THE DOG THAT CREATED THE PROBLEM:

Dog Name if known: 

Breed/Type:      Color(s):      Sex: 

Age:      Size:      Dog Tag/License Info. if known:     Weight: 

Distinguishing Characteristics: 

Misc: 



PLEASE TELL US ABOUT THE PERSON WITH THE DOG:

Name of the Person with the Dog if known: 

Was the person with the Dog the owner? (Yes, No or don't know): 

Their Address if known: 

Their Phone if known: 

Their Car License plate # if known:      State: 

Description of Their Vehicle if known:    Make:  

Car Model:    Car Color(s): 



WERE THERE WITNESSES?:

Name:      Phone: 

Name:      Phone: 

Name:      Phone: 
 


IF YOU HAVE ANY PHOTOS, PLEASE EMAIL THOSE
TO webmaster@rsrpd.us and Refer to this AGGRESSIVE DOG COMPLAINT FORM.
 

PLEASE CLICK ON THE SUBMIT BUTTON TO SEND THIS INFORMATION TO US: 

Thank You.