Registration - Harnett Animal Welfare Coalition (HAWC)
Transcription
Registration - Harnett Animal Welfare Coalition (HAWC)
Registration ************************************ You can register online at www.dogjog.org OR check all that apply: Registration: $25 (after May 7, fee is $30) 5K Timed 5K Not Timed 1 Mile Not Timed Would you like to make an additional gift to help the animals? YES, my additional donations is $___________________________ Sex:_______________ T-shirt Size (circle one): S M L XL XXL Birthdate:________________________ Age on May 28th:____________ Name:________________________________________________________________ Email:_____________________________________________________________ City:_______________________ State: __________ ZIP:______________ Please take a moment to review and sign the waiver below. I know that a run or walk is a potentially hazardous activity. I should not participate unless I am medically able and properly trained. I assume all risks associated with participation in this event including, but not limited to: falls, contact with other participants and their dogs, the effects of weather (including high heat and/or humidity), traffic and the conditions of the road, all such risks of being known and appreciated by me. Having read and understood this, I for myself and anyone entitled to act on my behalf waive and release HAWC and all sponsors, contributors, their representatives and successors from all claims or liabilities of any kind arising out of my or my animal’s participation in this event. 4antnhual 5K & DOG WALK THE MEMORIAL CHALLENGE HARNETT COUNTY COURTHOUSE, LILLINGTON ***************************** Animal Medical Record Verification (for dogs participating or attending the event). My animal(s) is up to date on their rabies vaccine and my animal is healthy, comfortable/not aggressive around large groups of people and other animals and able to participate in the Dog Jog activities. I give HAWC the absolute right and permission to copyright and/or publish, or use any photographic images of this event. Signature of Participant or Legal Guardian if under 18: ______________________________________________________________________ Payment Method: Check enclosed (please make out to HAWC) Charge my (circle one): VISA MasterCard Discover CC#:______________________________________________________________ Exp. Date: ______/______ CVV (code on card back):__________ Phone Number:_________________________________________________ (we will only use if there is a problem processing payment) Contact: 910.808.1550 HAWC, PO Box 1324 Lillington, NC 27546 ************************************ ***************************** FOR MORE INFO ****************************** Visit www.dogjog.org to find out more information or to register. Contact: info@harnettawc.org 910.808.1550 DOG JOG 2016 promises fun for the whole family with music, dog contests, and vendors! A dog is not necessary for participation in the Dog Jog, but feel free to bring your pets along. Registration fee is $25* and includes a T-shirt and race goody bag. Register online at: www.dogjog.org For more information about this event contact info@harnettawc.org or call 910.808.1550 *After May 7th, registration is $30 MAY 28 REGISTRATION 4thual ann Registration is $25*. Participants will receive a Dog Jog 2016 T-shirt and a race goody bag. 5K & DOG WALK Register online at www.dogjog.org or by mailing in the registration form attached to this brochure. Mail form to HAWC, PO Box 1324 Lillington NC, 27546. *After May 7th, registration fee is $30. JOIN A TEAM! The fourth annual Dog Jog is a benefit to support HAWC programs and the Harnett County Animal Shelter. EVENT SCHEDULE 7:00 a.m. 5K Check-in and Packet Pickup begins ABOUT HAWC 8:15 a.m. Presentation of Colors Harnett Animal Welfare Coalition (HAWC) is a 501(c)(3) non-profit organization formed to build a community partnership for the benefit of our County’s animals. 8:30 a.m. 5K Race begins 9:00 a.m. Check-In/Packet Pickup for Dog Walk 9:30 a.m. Awards Ceremony 10:00 a.m. Dog Walk Begins CURRENT PROGRAMS Pet of the Week Program Featured in local newspapers and distributed to local businesses weekly. Spay And Neuter Transport & Assistance Funding for spay/neuter and transports to clinic. Partnering with Harnett County Animal Shelter Needed supplies such as Kuranda beds, vaccines, digital camera, cat cages, etc. Students of Animal Responsibility Program SOAR teaches pet responsibility to local Fourth Graders. *Please no retractable leashes. RACE/WALK COURSE The multiple-terrain course begins and ends in front of the Harnett County Courthouse. 301 W. Cornelius Harnett Blvd. Lillington, NC 27546 You can register as an individual or you can join a team and work toward fundraising goals together! For more info, visit www.dogjog.org. BECOME A SPONSOR! All proceeds benefit HAWC programs and the Harnett County Animal Shelter. To become a sponsor, please contact us by phone or email. Contact information is listed on the back of this brochure. Thank you for supporting your community! BECOME A VENDOR! For more information about becoming a vendor, please email Kristen@harnettawc.org PRIZES Prizes will be awarded for the 5K Race. The top three female and male overall finishers, as well as the top three females and males in the following age groups: 19–under, 20–29, 30–39, 40–49, 50–59, 60–over.