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Contact the Friends of Brewster Dog Park
Report an Incident
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Incident Report Form
First name
*
Last name
*
Email
*
Phone
Date and Approximate Time of Incident
*
Month
Day
Year
Time
:
Hours
Minutes
AM
Nature of Incident
Dog bite to a person
A person was injured
A threat of injury to a person
Aggressive behavior by a dog/s
Egregious or uncivil behavior by a person
Rules broken
Other
Did you witness the event first-hand?
Yes
No
Other
Persons Involved
Individual and/or their dog/s
First / Last Name
Email
Phone
Multi-line address
Country/Region
Address
City
Zip / Postal code
Vehicle Make, Model, Color
Dog's Name
Breed
Weight (approx)
Color
Description
Select 1
Neutered/Spayed
Intact
Unknown
Does the dog have a CURRENT Rabies Vaccination?
Yes
No
Unknown
Does the dog have a current license?
Yes
No
Unknown
License # (if available)
Was another dog involved in the incident?
Yes
No
Upload a photo or video, if available
Upload File
Upload a photo or video, if available
Upload File
Submit
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