Alchemy 2016 Service Dog Registration
While the event has a strict No Pets policy, this does not apply to service animals because service animals aren't pets! You and your service animal are welcome at the event as long as you follow these policies:

You must pre-register your service animal before the event. If you arrive at the event with a service animal that has not been registered, then you will be turned away at the gate.

Only service animals are allowed. Emotional support animals are NOT allowed. The ADA defines service animals as "dogs that are individually trained to do work or perform tasks for people with disabilities... The work or task a dog has been trained to provide must be directly related to the person’s disability."

If your service animal is approved, you must meet with the Service Animal Task Lead, Jay, on site when you arrive at the event. Your are not allowed to bring your service animal until this form has been submitted AND you have gotten approval from the Service Animal Task Lead.

You must clean up after your service dog, including their poo.

Service dogs must be up to date on rabies, Bordetella, and da2pp. They must also be micro chipped and spayed or neutered. Your must provide contact information for a vets office so that we can confirm.

If your service dog is seen without you, then you may be asked to leave the event.

Your service dog must be on a 6-foot leash at all times. Retractable leashes are not allowed.

Please direct all questions about service animals to the Service Animal Task Lead at serviceanimals@euphoriaburn.com.

Legal Name of the Owner/Handler *
Your answer
Email of the Owner/Handler *
Your answer
Name of the service dog *
Your answer
Function of the service dog *
Your answer
Breed, Age, Weight, Color *
Your answer
If dog becomes separated from you, who should we call in case of an emergency in which you're incapacitated? *
Name and phone number
Your answer
Veterinary Clinic name and phone number *
Your answer
Dates of last Bordetella, DA2PP, and Rabies vaccinations *
Your answer
Spayed/Neutered? *
Chipped? *
What camp or area will you be camping in? *
Your answer
Are there any other issues that we need to be aware of? *
Your answer
I agree to keep my service animal on a 6 foot leash at all times. I understand that retractable leashes are NOT acceptable. *
I understand that I can be asked to leave the event if my service animal is seen without me. *
I understand that my service animal will not be allowed at the event until approval is given to me via phone or email by the Service Animal Task Lead. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms