PSHR Fun Run Entry Form
By signing this document:
I agree to
HAVE FUN and will not hold Patriot Siberian Husky Rescue, Army Corp of
Engineers, other co-sponsors, land owners or race committee liable for any
reason whatsoever. I further agree to abide by the rules governing this
race and understand that the Chief Race Marshall has the final decision
and will abide by that decision.
__________________________________________________________________________
Driver and
or Parent/Guardian's Name* (* if driver under the age of eighteen years of
age)
__________________________________________________________________________
Signature
__________________________________________________________________________
Address
__________________________________________________________________________
Email
Address
__________________________________________________________________________
Event/Class
to be entered (circle one or both)
1-3 dog
geriatric class (9 years or older) - Saturday
1-3 dog
puppy class (10 months or younger) - Sunday
__________________________________________________________________________
Dogs name(s)
& age
__________________________________________________________________________
Dogs name(s)
& age
Mail Entry Form to the Race Secretary:
Corina
Alexander
67 Eastman
Hill Road
Sanbornton, NH
03269
ENTRY
DEADLINE: Wednesday, January 6, 2010. Entries will not be
taken after this date.