Registration Form

Early Registration Fee is $18.  If you register the day of the walk registration is $20.  Additional T-shirts are $15 and additional pet bandanas are $5.
 
On the day of the event you will be required to sign a waiver stating the following:
  • I waive and release all rights and claims for damage against organizers or anyone else associated with CSAY’s Paws for Prevention Walk, for any injuries suffered by me or my pet as a result of taking part in today’s activities.
  • I will be responsible for the conduct of my pet, keeping him/her leashed at all times and cleaning up after my pet.
  • I will not bring a female dog in heat or a dog known to be aggressive toward people or other animals.
  • I certify that my pet is up to date on vaccinations and has a current license.

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* 1. Participant Name

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* 2. Participant's Emergency Contact

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* 3. Is participant under 18 years old?

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* 4. Pet's Name

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* 5. Vet's Name

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* 6. Vet's Phone Number

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* 7. Please enter T-Shirt Size and quantities below

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* 8. One Pet Bandana is included with your registration, if you want extra, they are $5 each.  Please indicate below how many EXTRA bandanas you would like.

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* 9. Would you like to pay today via PayPal?

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