Dog Gone Walk 2010
Registration Form
 
Dog Gone Walk 2010 will be a walk benefitting Cut Bank Animal Shelter on Sunday, September 12, 2010. Dogs and their owners made our last walk an event to remember. We look forward to the Dog Gone Walk 2010.

Dog Gone Walk 2010 is a walk benefitting Cut Bank Animal Shelter. Sunday, September 12, 2010. The walk is a 1.5 mile flat walk.

2:00 p.m. Registration on the south side of A.J. Park, next to the tennis courts on the northwest side of Cut Bank.

3:00 p.m. Start on the south side of A.J. Park, next to the tennis courts on the northwest side of Cut Bank.

Humans and canines are welcome. Pets receive bandanas. Pet owners are responsible for cleaning up after & maintaining control of their pets. All dogs must be leashed. Aggressive dogs & dogs in heat should not participate. Entries by mail must be received by Entry fee=$5.00 per dog/walker; $10.00 per family. We will be selling Magnetic Ribbons for $5.00 each; Clickers for $2.50; Stuffed Squeaky Toys for $5.00; and Beanie Babies for $10.00 . All funds are donated to the Cut Bank Animal Shelter Medical Fund and are a tax free donation.

 
PLEASE READ CAREFULLY & PRINT CLEARLY!
Event: 1.5 Mile Walk
Full Name:
Address:
City, State:
Zip code:
Home Phone:
Work Phone:
Pet(s) Name:
Pet(s) Age:
Pet(s) Sex:   Male/Female   Neutered/Spayed Pet is registered in Cut Bank City? Yes/No
 
Waiver of Liability:
In consideration of your accepting this entry, I, the intending to be legally bound, hereby, for myself, my family, my heirs, executors, & administrators, forever waiver, release & discharge the Cut Bank Animal Shelter, Cut Bank Police Department and City of Cut Bank, and other sponsors of this race and/or their representatives from any and all liability arising from illness, personal injury, or property damage which I or my pet(s) suffer as a result of our participation in this event. I further attest that my and my pet(s) physical condition is adequate to participate in this event. I understand that there will be traffic on the courses. Further, I hereby grant full permission to the Cut Bank Animal Shelter and/or agents hereby authorized by them, to use any photographs, videotapes, motion pictures, recordings or any other legitimate media for any purpose at any time. I have read the waiver carefully & understand it.
        
Signature:
Date:
Parent or Guardian Signature (if under 18)
Date:
 
Questions contact us at cutbankanimalshelter@hotmail.com , 873-4624 or on day of the Dog Gone Walk 2010.