STEP 2. REGISTRATION FORM

Name: *
FULL Address/City/State/Zip: *
Phone: *
Email: *
Will you be walking with a dog?	Yes No
I have read and agree to the Waiver and Release *	Yes No
Are you over 18 years of age? *	Yes No
I will be paying the $25.00 single registration	Yes No
I would like to add $5.00 for additional dog.	Yes No
I would like to order an additional T-Shirt for $10.00	Yes No