Registration Form

To register: Click here to read the waiver and complete this form. By submitting this electronic form you are agreeing to the terms stated in the waiver/release form. Entry Fee (T-shirt included) -- $25 per person and $10 Canine T-shirts for registration on day of event are subject to availability After this form is submitted you will be directed to the shopping cart page to make your payment or donation
Last Name
First Name
Canine Name
Address
City State Zip
Phone Number
Email:
Please select the 5K run or walk 5KRun Walk
T-Shirt Size Small Medium Large X-Large XX-Large
Image Validation: Please enter the characters in the image to the right. All letters are lowercase	Characters: