Your dog on the 2017 t-shirts!

Tails on the Trail 2016 Registration Form
Name___________________________________Male/Female
Address_____________________________________________
Meet
Mercy!
Topeka’s favorite dog-friendly 5k family event.
Celebrating 7 years and $78,000 in donations!
City__________________________State______Zip_________
Age on Race Day________Phone (_____)_________________
Email_______________________________________________
Circle T-Shirt Size (adult sizes): S
M
L
XL
XXL
5K Run/Walk - Please Check All that Apply:
Amount
[ ] Run (Timed)
[ ] Walk (Not timed)
$30 ____
[ ] 5K with Dog
[ ] 5K without Dog
[ ] Late registration fee (Day of event)
$5 _____
Late registration not guaranteed a shirt.
Total Amt: $ ______
One dog per participant please. All dogs must be on a leash.
Kids age 10 and under are free. All participants must register.
Rain or shine, no refund.
Did you participate last year in Tails on the Trail 2015? Y N
If this is your first year, how did you hear about us?
___________________________________________________
Make checks payable to: HHHS - Tails on the Trail
Mail to: Helping Hands Humane Society
Attn: TOTT • 5720 SW 21st Street • Topeka, KS 66604
Must be postmarked by October 20th, 2016
This Waiver/Release and Covenant Not to Sue and indemnification Agreement must be
signed by each runner/walker and owner of a dog to be accepted. It must also be signed by
the parent or guardian of any runner/walker under the age of eighteen (18) years. I give and
agree to the following Agreement in one or more of the following capacities and for and on
each of the following: (1) For Myself in all cases, whether or not a participant; (2) for my child
or ward if a participant in the race; and (3) for my dog. I have been advised and understand
the following WARNINGS and DISCLOSURES: (1) running a road/trail race is a dangerous and
potentially hazardous activity; (2) no person or dog should enter unless medically able or
properly trained; (3) there will be traffic on the course; (4) all participants and dogs assume
the risk of running in traffic; and (5) all participants and dogs assume all risks associated with
participating in this event, including but not limited to falls, contact with other participants,
motor vehicles, dog bite, tripping, the effects of the weather and the condition of the roads.
Having been given these warnings and disclosures, and in considerations of and as a condition of your accepting my entry, I hereby waive, for and on behalf of myself, my dog and my
child participant, if under eighteen (18) years of age and release and forever discharge and
covenant not to sue and further agree to hold harmless and indemnify, The Helping Hands
Humane Society and any and all organizers of the event, sponsors of the event, their agents,
servants, employees, assigns or anyone acting on their behalf from any and all claims, damages, causes or action or other relief for damages for personal or bodily injury or property
damage of any kind or nature to all claims of any kind or character whatsoever, foreseen or
unforeseen known or unknown. I further grant permission to any and all of the foregoing to
use any photographs, videotapes or any other record showing my image/pet/minor or likeness for any lawful purpose. If I am participating with a dog I do not own I will not participate
with that dog unless the owner of the dog has read the entry form and this Agreement and
executes it, making all the certifications and warranties contained within it, which I believe
to be true. This Agreement shall be binding upon me, my child or ward, and any heirs, executors, administrators and assigns, or anyone else who may make a claim on my behalf.
___________________________________________________
Signature of Participant
Date
___________________________________________________
Signature of Parent/Guardian
Date
Winner of the
2015 t-shirt
contest. She
will be on the
back of this
year’s t-shirts!
Your dog on the
2017 t-shirts!
Bid for your dog to be on the 2017 t-shirts
(silent auction on November 5). The winner for
this year is “Mercy”, a Yellow Lab Mix adopted
from HHHS in 2015. She will be on the back of
the 2016 t-shirt. Your dog could be next!
A BENEFIT FOR HELPING HANDS HUMANE SOCIETY
BY SHAWNEE COUNTY PARKS + RECREATION
November 5, 2016
10am • 1st Saturday in November!
Shawnee North Community Park
300 NE 43rd St • Topeka, KS • 785-286-0676
Where does your money go?
100% of your registration fee goes directly to Helping
Hands Humane Society to positively impact the lives
of the 8,000 homeless animals that arrive at their
doorstep annually. The following are a few examples
of how money raised through TOTT is utilized:
$30 - Two animals receive initial vaccinations
and health checks.
$50 - Provides medication for a sheltered
animal in need of medical care.
$66 - Covers the adoption fees for a cat
to go home with a caring family.
$150 - Covers the adoption fees for a dog
to go to a loving home.
$200 - Provides emergency medical care
for a dog with a broken leg.
$500 - Provides spaying and neutering for five
animals so they can be adopted.
a benefit for:
sponsored by:
www.hhhstopeka.org
Click on Events/Tails on the Trail
www.facebook.com/tailsonthetrail
2 ways to register:
1) Mail this registration form to:
Helping Hands Humane Society • Attn: TOTT
5720 SW 21st Street • Topeka, KS 66604
2) Register online. Go to: www.hhhstopeka.org
Click on “Events” and “Tails on the Trail”
Actu
al
Trail
!
We do this for the animals. It began with an idea to help
Helping Hands Humane Society move in to their new building on 21st
Street. Now they have more room to expand their programs and provide
education to the community. We work hard to ensure 100% of your
registration fee goes directly to HHHS, and the funds are benefiting the
animals and their care (more info on back page). To date, we’ve been able
to do this thanks to our sponsors and donations from you. We will have
adoptable dogs and cats on site the day of our event. Come out and give
them some love. This event provides additional exposure for the animals,
helping them find their forever home. Thank you for your support!
Sponsorships and Silent Auction donations: [email protected]
Vending opportunities: Shawnee North Community Center
(785) 286-0676
It’s our 7th Anniversary!
Shawnee County Parks + Recreation
is proud to present the 7th Annual
Tails on the Trail 5k Run/Walk ~
a fundraiser for Helping Hands
Humane Society in Topeka, KS.
Tails on the Trail will be held on
Saturday, November 5, 2016
with registration at 9am. The Run/Walk
begins at 10am and will take place on the
Shawnee North Nature Trail, with a free
photo booth, vendors and a silent auction.
Concessions and indoor facilities will be
available for the public and their dogs.
Friday, November 4, 2016
Packet Pick-up and Registration
from 8am to 7pm at Shawnee North
Community Center • 300 NE 43rd St
Saturday, November 5, 2016
Race Day! Packet Pick-up and
Late Registration at 9am at
Shawnee North Community Center
Welcome announcement at 9:30am
Timed Race starts at 10am
Breakfast for all race participants.
Awards following the race ~
must be present to win.
Silent Auction winners announced
after awards ~ must be present to win.
Rules: Keeping it safe
All dogs must be leashed for the
duration of the event. ONE DOG PER
RUNNER. NO RETRACTABLE LEASHES.
All dogs should wear a current rabies tag
and be up-to-date on all vaccinations.
No dogs in heat. No dogs that may be a
threat to others. Event officials reserve
the right to refuse aggressive animals.
Please be responsible and courteous.
Please clean up after your pet.