Incident Report – Bourbon City Bark Park

Instagram

This field is for validation purposes and should be left unchanged.

Bourbon City Dog Park Incident Report Form

Please note that any incident involving bodily injury to persons or dogs regarding medical attention should be immediately reported to the Bardstown City Police by calling 911. All incidents of inappropriate behavior as well as any behavior involving bodily injury shall be reported using the BCBP Incident Report Form.

Owner Name: Reporting Party(Required)

First Last

Phone(Required)

Email(Required)

Dog Name

Breed

Color

Weight

BCDP Tag #

General Description of Incident(Required)

Please share a brief description of what happened at Bourbon City Dog Park.

Other Individual/Dogs Involved

Owner Name

First Last

Phone

Dog Name

Breed

BCDP Tag #

Other Individuals/Dog Involved(Required)

If names are not known please provide a full description of the individual, their dogs name and anything that may be pertinent (i.e. Make, Model of car, license plate number, etc.) or other additional information.

Date of Incident

Timeof Incident

Location

Describe Injuries

Witness

First Last

Phone

Witness

First Last

Phone

Actions Taken(Required)

CAPTCHA