MAH Performance Team Registration
Meeker Animal Hospital
Client Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Performer Name
*
First Name
Last Name
Performer's T-Shirt Size (Adult Sizes)
*
Small
Medium
Large
X-Large
2X-Large
3X-Large
If under 18 years of age, please type legal guardian's name below. If over 18 years of age, please type "NA" in each box below.
*
First Name
Last Name
Pet's Name
*
Type of Animal
*
Horse
Dog
Pig
Sheep
Cow
Other
If "Other" was chosen in the previous question, please indicate what type of animal you have that you will be performing with.
Organization you are representing while showing? If none, please put "individual."
*
I agree to let Meeker Animal Hospital post, share, and/or promote any activity I do on social media. I understand by typing my name in the blank below is a representation of my signature and agree to the social media release. I also understand that by signing that there will be no financial compensation.
*
Submit
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