| When: Sunday, September 9, 2007
Time: 11:00 A.M. Where: Kinder Park Millersville, MD 21108 |
| Name: _____________________________________ Phone: ____________________ e-mail address: _________________________ # of people attending: _____________________ Shirt size: ____ Child Large ____ Adult Small ____ Adult Medium ____ Adult Large Shirts may be purchased for $10.00. Please make checks payable to Elizabeth Carr Memorial Fund for any shirts that are ordered. Quantity _____ Sizes _____ Registration Fee:
$25 Individual Please make checks payable to: Elizabeth Carr Memorial Fund 127 Longfellow Drive Millersville, MD 21108 |
| Waiver:In consideration of my participation in the "Paws in the Park" walk,I, for myself,and anyone else entitiled to act on my behalf, assume any and all risks that might be associated with the walk.
I waive and release any and all actions, claims and damages, of whatever nature, which I may have against the oraganizers and all others connected with this event. I am responsible for any and all injureis or damages of any kind suffered by myself, my pet(s) or any member of my family, as a result of taking part in the walk and any related acitivities. Signature:__________________________________ |