"Paws & Hearts"
Dog Walk 2016 Registration Form
Fed. Tax ID # 91-2096569

Registration is $25 per walker. Each walker must be present to receive a t-shirt.

* denotes required field!

My Contact Information (Walker One)
First Name *
Last Name *


City: *     State: *    Zip: *   


Email *
May we add you to our email list?

Shirt Size

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please let us know who: