FWDD Oktoberfest Derby Season & Fun Spot Costume Contest Registration

FWDD Oktoberfest Derby Season & Fun Spot Costume Contest Registration

Please Complete ONE registration form PER DOG.
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Your Dogs Name*
example: Buster
Your Dogs Age*
example: 5 1/2
Your Dogs Weight*
example: 10 lbs.
Does your pup have a disability?*

NoYes, needs a cart/drag bagYes, Blind and/or Deaf
Dogs Breed*

Pure DachshundMixed Dachshund (Wiener Wanna-be race eligible)Other Small Breed (Wiener Wanna-be race eligible)Large Breed (not RACE eligible: Fun Contests & Costume Contest ONLY)
I hereby affirm that:*

I have read and understand the rules and liability page regarding our participation in an FWDD event.My Dog's required vaccines are current with Florida State Statute.I will abide by all rules and regulations with regard to our participation in the FWDD event(s).
**Indicates this is an official FWDD circuit race.
Choose From the Following Derby Events/Contests*
prevnext( X )
**Tampa Bay Downs Derby Race Registration (SUNDAY 10/23/22)$15.00
Upper Tampa Bay Chamber of Commerce Oktoberfest Celebration Derby

Item subtotal:$0.00

Stand By Registration (donation no refunds)$15.00
Stand By Registration for Tampa Bay Downs Oktoberfest Sunday October 23, 2022 at 2pm

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.