SALISBURY MD KENNEL CLUB
CHARITABLE TRUST, INC.
1ST ANNUAL DOG WALK
SATURDAY, APRIL 2, 2011
REGISTRATION 8A.M. TO 9:30 A.M. ~ WALK 9:30AM
SALISBURY MD KENNEL CLUB TRAINING CENTER
31663 WINTERPLACE PARKWAY, SALISBURY, MD
BENEFIT VEST-A-DOG
(Bullet & Stab Proof Dog Safety Vest)
FOR CITY OF FRUITLAND POLICE DOG
& OXYGEN MASKS FOR SMALL ANIMALS
FOR FIRE DEPTS IN THE TRI-COUNTY AREA
DOG WALK REGISTRATION FORM
NAME______________________________________________
ADDRESS___________________________________________
PHONE #______________________ E-MAIL____________________________
DOG & HANDLER $20.00 ~ ADDITIONAL DOGS $5.00 EACH
AMOUNT ENCLOSED_______________________________
Bring Day of Event or Mail by 3/20/11 to Bonnie Garris, 321 Cedar Dr., Salisbury, MD 21804
MAKE CHECKS PAYABLE TO SALISBURY MD KENNEL CLUB CHARITABLE TRUST
[Contributions are tax deductible IRS code 501(c)(3)]
In consideration of the furtherance of the Salisbury MD Kennel Charitable Trust, and of the Salisbury MD Kennel Club Charitable Trust permitting me and my dog(s) to participate in the SMKCCT Dog Walk, on behalf of myself, my heirs, executors, administrators and assigns, by submitting this form or participating in this event, I hereby waive and release any and all rights and claims for damages or injuries that I and my dog(s) might sustain while taking part in this event or as a result there of: the Salisbury MD Kennel Club Charitable Trust, Salisbury MD Kennel Club or any other person connected with the event. I give the Salisbury MD Kennel Club Charitable Trust and Salisbury MD Kennel Club permission to take photographs or video of myself and dog(s) at this event and use them on their websites, in print and in other media to promote the Salisbury MD Kennel Club Charitable Trust.
Signature Date
For Questions Contact: mailto:begtempest@aol.com
PLEDGE SHEET
SALISBURY MD KENNEL CLUB CHARITABLE TRUST, INC.
1ST ANNUAL DOG WALK ~ SATURDAY, APRIL 2, 2011
Benefit for a Bullet & Stab Proof Dog Safety Vest For City of Fruitland Police Dog and Oxygen Masks for Small Animals for Fire Departments in the Tri-County Area
NAME AMOUNT PAID
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PLEASE FEEL FREE TO MAKE ADDITIONAL COPIES
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