Little Paws Dachshund Rescue Georgia Dachshund Races
2024 Registration Form
Owner Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Dog's name (only one dog per form, please)
*
Race Type ($5)
*
Mini (up to 15lbs)
Standard (16+ lbs)
Senior (9 years+)
Puppy (3 months to 11 months)
Wheelie
Special Needs (blind, deaf, tripod)
Not Racing This Year
Costume Contest ($5)
*
Attending
Not attending
Other Contests (Free)
Smallest
Longest
Oldest
Coat
Talent Show
Date of last rabies vaccine (all dogs must have current tags to race)
*
-
Month
-
Day
Year
Date
Rabies vaccine: 1 year or 3 year
1 year
3 year
Payment
prev
next
( X )
Mini Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Senior Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Puppy Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wheelie Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Special Needs Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Mixed/Non-Doxie Race
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Costume Contest
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
In consideration of my participation in the Little Paws Dachshund Rescue's Georgia Dachshund Races & National Dachshund Race Circuit, I do hereby waive the Gwinnett County Fair Grounds, Little Paws Dachshund Rescue, the Georgia Dachshund Races, The National Dachshund Races, Sponsors, and Affiliates for damages or injuries to my employees, volunteers, inventory, animals, or myself while participating in said event.
*
Agree
Submit
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