AWS Strut Your Mutt ~ Registration Form

Registration Form

To participate in Strut Your Mutt, please print, fill out and sign this form and submit with your registration fee payment.

Walk Participant Info:

Team Name: ______________________________________

Contact Name: ____________________________________

Address: _________________________________________

City: ______________________ State _____ Zip _________

Phone Number: ____________________________________

Email Address: _____________________________________

Registration Payment:

Individual registration fee donation:
$15 in advance (received no later than September 1st) or $25 onsite the day of the event.

Team registration fee donation:
$45 in advance (received no later than September 1st) or $75 onsite the day of the event.

If paying by credit card or by check, please mail form to:

Animal Welfare Society, Strut Your Mutt
PO Box 43
West Kennebunk, ME 04094

Waiver of Liability:

I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of the event. I agree to assume all responsibility for any and all risk, damage or injury that may occur to myself or my dog(s) as participants in the Strut Your Mutt benefit walk. In consideration of being accepted as an entrant in this event, I hereby for myself, my heirs, minor child or ward, and executors and administrators of all the foregoing, release and discharge the Animal Welfare Society, the Town of Kennebunk, its employees, Board of Directors, sponsors, volunteers and all persons associated herewith from all claims and damages resulting from or arising out of, or incident to participation in this event.

Signature: ___________________________________________________________________
(If participant is under 18 years of age, parent/guardian required to sign.)