MCDMA Race Registration Form

Montana Creek Dog Mushers Association Race Registration Form

Saturday December 9th
Location: E Mo Dog Musher Rd, Talkeetna AK. When: December 9th, 2023
Participant Details
Email*
example@example.com
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Class Entered
Race Classes*
prevnext( X )
4 Dog 4 Mile$10.00

Jr 3 Dog 4 Mile $10.00

6 Dog 6 Mile $10.00

8 Dog 8 Mile $10.00

Open - 10 Mile$10.00

Skijor - 4 Mile$10.00

Jr 1 Dog $ Free

Total $0.00
Dog breed.

Race Breed. (Any mixed breed)Purebred (This applies to Siberian’s or any northern breed working towards titling their dog with breed club).
Waiver & Release
*

I will follow the rules and regulations of MCDMA.I acknowledge that this race requires physical activity and there are possible risks and danger.I release MCDMA for any responsibility in case of an accident, illness, or injury.I confirm that all information in this registration form is accurate and true.
Participant's Signature (Draw with mouse or finger)

Clear
Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)

Clear

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Montana Creek Dog Mushers Association Race Registration Form