3. REGISTRATION FORM Name: * FULL Address/City/State/Zip: * Phone: * Email: * Will you be walking with a dog? Yes No $20 - 1 poker hand, tote bag Yes No $30 - 3 poker hands & tote bags Yes No $5.00 to Rent-A-Rescue Dog Extra Yes No I have read and agree to the Waiver and Release * Yes No Are you over 18 years of age? * Yes No
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