GDPA DISPUTE RESOLUTION FORM Please note that all information on this form will become a matter of public record to all of those affiliated with the Dog Park and the Resolution process. I.E. The GDPA Board, City Council, Parties of the Resolution Committee, etc. Party(ies) Filing Dispute Name___________________________________________________ Address__________________________________________________ Contact Phone Number _____________________________________ Person(s) Filing Complaint Against Name___________________________________________________ Address_________________________________________________ Contact Phone Number _____________________________________ Name___________________________________________________ Address_________________________________________________ Contact Phone Number _____________________________________ Witness(es) to Incident Name___________________________________________________ Address_________________________________________________ Contact Phone Number _____________________________________ Name___________________________________________________ Address__________________________________________________ Contact Phone Number _____________________________________ Please note that all above information will be a matter of public record. The data contained will be used by all parties to provide an agreeable resolution for those in dispute. Formal Disputes will be discussed in a public forum such as a Greenbelt Dog Park Association Meeting. Description of Incident Please note key information such as the date and time of incident. List name of parties involved and witnesses to the incident and what form of resolution you are seeking. _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Resolution Sought _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________