Wufoo

Mutt Strut Dog Pack

Name First Last
Phone - (###) - ### ####
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
If you would like to create a Dog Pack or join a Pack, please complete the section below.
Dog Pack Name:
This Dog Pack is a:
Family Team School Team Friend Team Company Team
Members of Our Dog Pack:
Waiver/Agreement:
I hereby waive all claims against the ARFs, Mutt Strut, Loess Hills Humane Society and event sponsors and personnel for any injury I might suffer in this event. *
I agree

This box must be checked to complete form.
Do Not Fill This Out