5th Annual Tails on Trails Dog Walk

Saturday, May 2, 2009

Tonaquint Park

1851 S. Dixie Dr., St. George, UT

Entry Registration Form

Please print, complete and sign this form.

Mail to: P.A.W.S.

P.O. Box 910805, St. George, UT 84791

PHONE 435-688-9748

Participant Name______

Address______City______ST_____ Zip______

Phone (daytime)______Email______

Pre-Registration (Postmarked by April 24, 2009)

$20 per entrant includes t-shirt (entrant is walker w/dog; each add’l dog is $10)

How many dogs? ______$______

Participants registering after April 24, 2009 may register in person on the day of event.

$25 per entrant on DAY OF EVENT (add’l dogs $10 each)

How many dogs? ______$______

T-Shirt Order **T-Shirts guaranteed for pre-registration only!**

Indicate size(s):______T-shirts will be available in Adult sizes S, M, L, XL, XXL, XXXL

q Enclosed is my check payable to “P.A.W.S.” $______

Additional Donation

q I am unable to participate. Please accept my donation of: $______

q I would like to give a donation in addition to my entry fee of: $______

TOTAL AMOUNT: $______

Waiver of Responsibility: In consideration of P.A.W.S. and City of St. George permitting me to participate in Tails on Trails Dog Walk 2009 activities, for myself, my heirs, personal representatives and assigns, I hereby waive, release and discharge any and all rights and claims which I may hereafter accrue to me or which I may assert against P.A.W.S. or City of St. George, event sponsors, their officers, directors, employees, agents, successors and assigns, for personal injury or property damage which I may suffer or sustain as a result of my participation in any Tails on Trails activities, and I hereby assume all risks of any such injury and damage. I certify that my pet and I are physically fit to participate in any event that I may enter. I further grant permission to the use of photographs of me and my animal in media accounts and promotions of Tails on Trails event, P.A.W.S. and City of St. George.

Signature______Date______

(Parent or guardian’s signature if under 18 years)