D
| |||||||||||||||||||||
Phone: E-mail address:
![]()
![]()
*
All rescue dogs must be altered and current on shots.
Registration Fees:
| $15 Initial Registration | |
| $10 Table and chair temporary rental (optional) | |
| $15.00 - Name on back of shirt | |
|
|
|
|
|
Total amount enclosed (No cash, please!) |
Waiver/Release:
In
consideration of your acceptance of this form, I hereby, for myself, my dog, my
administrators, my heirs and assign, waive and release any and all rights and
claims for damages I have against the organizers for this walk, their
associates, and representatives or sponsors, for injury or illness which may
directly result from our participation. I also agree to obey all traffic laws,
exercise all safety precautions, avoid littering and respect the property of
others. I also give full permission for use of my name and photograph in
connection with this event. I further state we are in proper physical condition
to enter this event. Each participant must sign a form.
Entrant’s Signature / Date