Dog Walk Registration Form

Dog Walk Registration Form

Join us for a fun day of celebrating 40 years of Town & Country Humane Society and help us kick-off the day with our fundraising dog walk!
Event Date: Saturday, May 6, 2023

Event Time: 10-11 a.m.

Event Location: SumTur Amphitheatre

Event Cost: $20/person (includes an event T-shirt and proceeds go to the shelter)
Attendee Information
Your Name:*

First NameLast Name
Please select your T-shirt Size - Unisex sizing*
Additional Person Joining You?

First NameLast Name
Please select the additional person's T-shirt Size - Unisex sizing
Do you have more humans joining you?*

YesNo
Additional Person:

First NameLast Name
Please select your T-shirt Size - Unisex sizing
Additional Person:

First NameLast Name
Please select your T-shirt Size - Unisex sizing
Additional Person:

First NameLast Name
Please select your T-shirt Size - Unisex sizing
Additional Person:

First NameLast Name
Please select your T-shirt Size - Unisex sizing
Your Pet's Name(s):

NameNameName
Your Email Address*
example@example.com
Your Contact Number

Area CodePhone Number
Will you have a pet with you?

YesNo
Would you like to receive updates?

YesNo
Please indicate how many registrations you are purchasing:
prevnext( X )
1 person only (includes T-shirt and Pet Bandana)
$20.00



Additional walkers will be coming with me, but we don't need additional T-shirt(s) or Pet Bandana(s)
$ Free



Add 1 additional person (includes T-shirt and Pet Bandana) - Total of 2 T-shirts and 2 Pet Bandanas
$40.00



Add 2 additional people (includes T-shirt and Pet Bandana) - Total of 3 T-shirts and 3 Pet Bandanas
$60.00



Add 3 additional people (includes T-shirt and Pet Bandana) - Total of 4 T-shirts and 4 Pet Bandanas
$80.00



Add 4 additional people (includes T-shirt and Pet Bandana for each person) - Total of 5 T-shirts and Pet Bandanas
$100.00



Charge for 2X and 3X T-shirt
$2.00 Quantity



Total

$0.00
PAYMENT INFORMATION
Please verify that you are human.*
Name

First NameLast Name

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.

Should be Empty:

Dog Walk Registration Form

Attendee Information

PAYMENT INFORMATION