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.
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Driver and
or Parent/Guardian's Name* (* if driver under the age of eighteen years of
age)
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Signature
__________________________________________________________________________
Address
__________________________________________________________________________
Email
Address
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Event/Class
to be entered (circle one)
8 dog 12.5
miles
6 dog 12.5
miles
4 dog 12.5
miles
1-2 dog skijor 15 miles
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All
Siberian Husky Team (Y/N)
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Rescue
Dog(s) on team (Y/N) If you answer yes please fill out the next line.
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Please fill out the name of your rescue dog(s), and the name of the
organization that you adopted your dog(s) from.
Mail Entry Form and Monies to the Race Secretary:
Checks made out to Patriot Siberian Husky Rescue
Corina
Alexander
67 Eastman
Hill Road
Sanbornton, NH
03269
ENTRY
DEADLINE: Wednesday, January 6, 2010. Entries will not be
taken after this date.
Office use only: Check number________________________________________________