Canine Club Sign Up - Waterford Lakes Town Center

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Zip Code

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* 5. Do you understand by submitting this survey you agree to receive Canine Club specific emails on events and perks from Waterford Lakes Town Center? (Only those who answer "Yes" can participate in the Canine Club)

Yes

No

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* 6. Dog's Name

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* 7. Dog Breed

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* 8. Dog's Age