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* 1. The Wicker Park Dog Park is in need of a renovation.

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* 2. Your Zip Code

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* 3. What is your age?

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* 4. Please list the number of times you have visited the Wicker Park Dog Park in the past year.

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* 5. Please list the number of dogs you have in your household.

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* 6. My dog’s breed size is…(Please check all that apply)

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* 7. Please rank each of the 6 following suggested improvements to the Wicker Park Dog Park in order of importance.  #1 is the Most Important to You.

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* 8. Are you interested in Working to CREATE the New Design of the Dog Park,  Assisting with Fundraising, or Donating Funding for a Renovated Dog Park?
SELECT ALL That Apply to What You'd like to do.

If YOU plan to Assist - Please Enter Your Contact Information Below #10.

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* 9. Please list any additional considerations or comments.

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* 10. Your Contact Information for Dog Park Renovation Updates, Donor Options, Planning Meeting Times, and for Notification of  Fundraiser Dates.
Questions: WPAC@WickerPark.org

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