Da Walk Starts at 11:00 Da Pawty Starts at 11:30 Zephyr Field & LaSalle Park 6000 W. Airline Highway, Metairie, 70003 ------------------------------------------------------------------------------------------------------------ DAWG WALK REGISTRATION FORM Please bring this Registration Form with you on Sunday 4/18/10 Register by mail: Save-An-Angel 3800 Purdue Drive, Metairie, LA 70003 (Mailed applications must be received by 4/15/2010) The Dawg Walk Registration Begins @ 11:00 am at Lasalle Park Walk Registration Fees = $10 per person Name of Person: ____________________________________________
Name of Pooches: __________________________# of pooches: ______
Walking in memory of: ___________________________________________
Please enroll me in the following: □ Dawg Walk $10 □ Memorial Tribute $10 Which walk do you want to participate in? (Check One) □½ Mile Walk □1 Mile Walk Please enter my pooch or myself in the following contests: $5 entry fee per category (Check One) □Pooch Costume Contest □People Costume Contest □ Group Costume Contest (Mixed) Please make checks payable to: Frankie’s Friends, 410 West 55th Street, New York NY 10019 IMPORTANT: PLEASE NOTE “PAWTY 4 DA POOCHES” IN THE MEMO LINE All donations made to Frankie’s Friends are tax deductible Waiver: In consideration of acceptance of my entry, I, my executors, administrators, or assignees, do hereby release and discharge Save-An-Angel, LaSalle Park, Zephyr Field, and other sponsors for any claims of damages, demands, actions whatsoever, in any manner arising out of my participation in said fund raising event. I attest and verify that I have full knowledge of the risk involved in this type of event, and I am physically fit and sufficiently trained to participate in this event.
______________________________________________________________________ (Parent signature is required if participants are under the age of 18) All registration forms can be found online @ www.save-an-angel.org If you have questions please contact Kristie: (504) 638-2341 call or text, or ksullens@save-an-angel.org or Facebook: Angel Sullens