Pup-Crawl Online Registration Form

First Name *
Last Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *

Note You are required to provide additional information about the dog you are registering.
Dog Name *
Breed *
Color *
Age *
Registration *
$15PupCrawl 2019

Event Rules
1. 1. Owners must keep control of their dog at all times.
2. 2. Each dog must wear a collar.
3. 3. All dogs in attendance must be current on rabies.
4. 4. Participants agree to clean-up after their dog and place waste in provided trash containers.
5. 5. All children must be accompanied by an adult.
6. 6. Photos and videos taken at the event will be released for public viewing.
Please read before Signing:
I grant permission for my dog(s) to participate in the PupCrawl 2019 Event sponsored by the Hanover Humane Society of Ashland, Virginia. I have read and understand the requirements regarding general information, dog behavior, and photo/video release. I know and understand that this event will include various dogs participating in activities. For myself and on behalf of my dog(s), I am aware of and understand that unanticipated danger might arise. I will not hold the Hanover Humane Society responsible for any personal injury or property damage which might occur as a result of participation in this event.
By checking this box I attest that I have read this registration agreement in its entirety and fully agree to the event rules, terms, and conditions. *
Yes, I Agree
Owner's Signatiure *
Date *
After Submitting you will be redirected to Paypal for Payment.