Registration - Harnett Animal Welfare Coalition (HAWC)

Registration
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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
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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
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FOR MORE INFO
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Visit www.dogjog.org to find out
more information or to register.
Contact:
[email protected]
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 [email protected] 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 [email protected]
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.