Tails & Trails Registration Form

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email*

example@example.com

Dog's Name:*

Sex: *

Age:*

Breed(s):*

Color:*

Dog's Name:

Sex:

Age:

Breed(s):

Color:

Dog's Name:

Sex:

Age:

Breed(s):

Color:

Dog's Name:

Sex:

Age:

Breed(s):

Color:

Rules and Restrictions:

Dogs must be licensed and leashed
NO retractable leashes
Owners are responsible for picking up after their pet
Females cannot be in heat

Waivers & Releases:

Vaccine Waiver:

Answering "yes" below assures and guarantees that my dog(s) is current on their vaccines including distemper/parvo combo and rabies. Please provide your veterinarian's name below.

Vaccine Waiver Acceptance:*

Veterinarian's Name:*

Waiver and Release:

I understand that participating in the event can be a hazardous activity and I am doing so at my own risk. I release PAWS Animal Rescue and all participating distributers/sponsors/vendors from any claims, injuries, damages, actions, losses or liabilities suffered/incurred by myself and/or my dog(s) as a result of my participation. I, and anyone entitled to act on my behalf, expressly release and discharge all such claims and liabilites, even though the liability may arise out of my own negligence or carelessness. I give permission for PAWS to use any photos I am in without my prior knowledge for promotion or marketing. By answering "yes" below, I certify that I have read and understand the intent of this waiver and release.

Waiver and Release Acceptance*