Doggy Day Mandatory Recertification

The Main Interior Building will be dog friendly on various days during fiscal year 2019. Please complete the below application to assess your dog's eligibility to participate. Applicants who have completed this task in 2018 are required to resubmit to be certified for 2019. 

Image
doggies.jpg

 

Your Contact Information:

Are You A Federal Employee?
Dog Profile:

Does your Dog Have Any Food Allergies Or Restriction?
Does Your Dog Have Any Past or Current Health Issues?
Is Your Dog Current With DDHP, Rabies, Parvo And Bordetella Vaccinations? (Proof Of Vaccinations May Be Required To Participate In Event)
Is Your Dog Housebroken?
Has Your Dog Ever Bitten Or Displayed Aggressive Tendencies Toward A Person Or Animal That Resulted In An Injury?
Does Your Pet Respond Well To Verbal Commands?
Has Your Pet Received Any Obedience Training?
Is Your Dog Acclimated To Crowded Settings With Humans?
Is Your Dog Acclimated To Crowded Settings With Other Pets?
Is Your Dog Hyperactive?
Does Your Dog Exhibit Chewing/Gnawing Behaviors (Wires, Furniture, Books, Trash, Etc.)?
Eligibility Rules and Acknowledgement of Responsibility Agreement

I, the above mentioned Dog Owner (“Owner”), hereby acknowledge and consent that my voluntary participation in the “Doggy Days at Interior” event (the “Event”) at the Main Interior Building (MIB) located at 1849 C Street NW, Washington DC 20240 may result in atypical workplace circumstances and that may result in property damage and/or personal injury, including to me and/or my above mentioned dog (“Dog”). I hereby acknowledge that submitting this Application does not entitle me to participate with my Dog at the Event, and that my participation is contingent upon review of my Application and eligibility, and approval by the Pet Director. Approval by the Pet Director is conditioned upon my consent to abide by specific rules associated with the Event, and my acknowledgement of personal and financial responsibility for my Dog.

I further acknowledge that taking a Dog to work may expose me to risks and danger inherent in a canine-oriented event (e.g. dog bites, fights or altercations, falls, contact with participants at the Event) and that such participation may fall outside of coverage for workers’ compensation under the Federal Employee Compensation Act. I hereby represent and confirm that the Dog is in good health and current on all vaccinations, including Rabies, DHLP, Parvo, and Bordatella, and that the Dog is not the subject of a quarantine order, a pending adjudication or administrative hearing; that the Dog has never bitten any person or dog to a degree that required medical treatment or resulted in formal complaint or legal action; and that the Dog has never been declared a dangerous, potentially dangerous or vicious or potentially vicious dog.

I acknowledge that DOI reserves the right to exclude or remove from the MIB/SIB premises any Owner or Dog from that is not in compliance with eligibility or Event rules. In the event of such removal, I consent to be personally responsible for the securing of my dog at another location and that administrative or sick leave will not be available for any lost time associated with such removal. I further agree that by submitting this application, I grant irrevocable and royalty-free license and otherwise authorize DOI or any covering news media outlet to depict, in perpetuity, my and my Dog’s likeness, images, name, words, voice, and biographical information (“Images”) in photographic or other works appearing in any and all media for purposes of promoting, advertising, or marketing current or future events related to “Doggy Days at Interior”.

I Have Read The Eligibility Rules and Acknowledgement of Responsibility Agreement And Agree To The Terms Stated