DOGGIE DASH
(5k run/ 1mile Fun Run-Walk)
A
fundraiser for the NE MT Pet Rescue!
July 19th, 2014 at 8:00am
(5k) and 9:30 (1mile)
Sullivan Park Softball Complex,
Glasgow
Montana 59230
Registration
Information:
Early Registration until July 4th,
2014 $30
Registration after July 4th until race
day $35
Registration includes:
Race Shirt, Goodie Bag, Tickets for Raffle Prizes
* first 50 registrations will receive a free distemper
vaccine voucher from Zoetis Animal Health!!
Pick up and drop off Registrations at Valley Veterinary Clinic or Glasgow Rec. Department or mail to:
Doggie Dash (Please make checks
to Doggie Dash)
PO Box 886
Glasgow, MT 59230
Registration and Packet Pick-up will begin at 7:00 am until
7:45 am day of race at Sullivan Park softball concession area.
Race
Information:
Course
Description: Flat and Fast, groomed trail
Raffle Prizes:
-Table for Six Dinner
from Dyan Carlson
-2 bags of Hills Dog
Food from Hills Pet Nutrition
-Headlamp from Valley
Veterinary Clinic
-Backpack from MWI
Veterinary Supply
- 2 Oil changes from
Newton Motors
-Wellness Exam from
Valley Veterinary Clinic
During and After Race:
-Water Station for
Humans and Dogs
-Fresh fruit from
Reynolds Market
-Snow Cones (1 raffle
ticket or 0.50 each)
-Photo Station with
finisher pictures posted on Valley Veterianary’s Facebook page
(5k run/ 1mile Fun Run-Walk)
Registration
Form
Human Name(please print legibly):
Age:
Dog Name (if participating with a dog):
Dog Age:
Address:
Phone:
T-shirt Size: S M L XL XXL
I will be participating in the: 5K run 1mile
Fun Run/Walk
WAIVER (entry not
valid unless signed): In signing
this waiver, I the undersigned do waive any and all claims for myself, my
heirs, executors, administrators or anyone else who might claim on my behalf. I
covenant not to sue, and waive, release and discharge all sponsors, organizers,
volunteers, or any other persons the Doggie Dash utilizes for any injury or
illness which may directly or indirectly result from my participation in the
2014 Doggie Dash. I further state that I will be responsible for the behavior
of my dog during this event and I assume all liability for any injuries caused
by my dog’s actions. I will have my dog on a leash at all times and will pick
up any waste that may occur during the event. Considering the possibility of
hot weather I will be responsible for my dog’s medical condition and well being
during this event and will not over exert myself or my dog(s). My dog and I are
in proper physical condition to participate in this event. I herby grant full
permission to use my name and my dog’s name and any photographs, recordings, or
any other record of my participation in this event for any publicity and/or
promotional purposes without obligation or liability to me. I HAVE READ AND
UNDERSTAND THIS WAIVER: (if under 18, legal guardian must sign)
Participant
Signature:____________________________
Date:_________________
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