Want to come out and join
us? It's simple. Print out this page and send in your registration.
Then collect pledges using the pledge
form and bring everything with you the day of the hike. Check-in
and day of hike registration will begin at 9 am. Don't forget to
check in to pick up your goodies.
Remember that you can even sponsor yourself! For tips on
raising money, check out our collection
tips page.
Unless you are registering to be
a remote hiker, please DO NOT MAIL THIS FORM IN AFTER SEPTEMBER
21st. We can not guarantee that your information will be at the
pre-registration table if you mail it in after this date. However,
please feel free to print it out and bring it with you the day of
the hike.
Please use ONE FORM PER PERSON. To register
today with paypal click here.
|
| Participants Information
(one form per person) |
| First
Name: |
_______________________________________________ |
| Last
Name: |
_______________________________________________ |
| Address
1: |
_______________________________________________ |
| Address
2: |
_______________________________________________ |
| City,
St, Zip: |
_______________________________________________ |
| Phone: |
_______________________________________________ |
| Email:
|
_______________________________________________ |
| Dog's
Name: |
_______________________________________________ |
| |
[ ] I am interested
in walking a foster.
Please note that this does not guarantee that a
foster dog will be available for you to walk. Please
check out our events section for details and rules.
|
| |
| |
| All registrants will received a Hike
T-Shirt, Goodie Bag and Dog Bandana |
|
[ ] $25 - postmarked by September 14th
[ ] $40 - registration thereafter
|
| |
| |
| Please check one of the following: |
| |
[ ] My dog is a TOTT Alumni
[ ] My dog is a TOTT Referral
[ ] My dog is a rescue from a shelter or another rescue
[ ] My dog is from another place other than what
is listed.
[ ] I am walking in memory/honor of___________________.
|
| |
Additional Hike T-Shirts (Available
with initial registration ONLY!)
|
| You may purchase additional hike
shirts for $25 each. Shirts will be available for pick up the day
of the event. You must register as a Remote Hiker to have your T-Shirts
mailed to you. If you do not register as a remote hiker and your T-shirt
is not picked up on the day of the event by noon, we reserve the right
to sell those T-shirts left over. |
| |
| |
Please print
out this form, fill it out and mail it along with your registration
donation to: TOTTSHR Inc, PO Box 612, Colmar, PA 18915 |
| |
Registration Total (includes ONE T-Shirt): $ ______________________
($25 if by 9/14/09, $40 if postmarked after 9/14/09....
includes ONE Hike T-Shirt)
Additional T-Shirts, I am purchasing ____ shirts: $ ______________________
($20 if by 9/14/09, $25 each if postmarked after
9/14/09)
I would like to make a donation: $ ______________________
Remote Hiker (add $8 S+H): $ ______________________
TOTAL ENCLOSED AMOUNT $ ______________________
My goal is to collect $_________ in pledges.
Click
here to print out pledge forms. |
| |
| Please enter TOTAL quantity
desired for each size: |
| |
[ ] S [
] M [
] L [
] XL [
] XXL
|
| |
| |
| By participating in this event, I
assume responsibility for any and all risks associated with my participation.
I hereby for myself, my heirs, executors, administrators or anyone
else who might claim on my behalf, release and discharge TOTTSHR,
Inc., its volunteers, and any other parties involved in this event
from any claims or liability of any kind whatsoever arising out of
my participation in this event, even though the liability may arise
out of negligence on the part of the parties named in this waiver.
I also agree to obey Warminster Community Park rules and regulations,
Tails on the Trails 2009 Hike Guidelines, exercise precautions, avoid
littering, and respect the properties of others. I also submit that
all animals in my care that are participating in this event are current
on their rabies vaccinations and are in good health. TOTTSHR, Inc.
reserves the right to refuse entry to any dog that is deemed unfit
or unsafe to participate. |
| |
Signature:_____________________________________
Date:__________ (Parent/Guardian signature for participants
under age 18) |
| |