Wags & Whiskers Fundraiser 2025 Registration

Wags & Whiskers Fundraiser 2025 Registration

*Please note that your registration is not confirmed until payment has been received. We will send you a confirmation email with your tickets once payment is approved*
EVENT INFORMATION

Event Date: Saturday, November 8th, 2025

Event Time: 6:00 pm - 10:30 pm

Event Address: Acton Town Hall - 19 Willow St. N, Acton, L7J 1Z6
ATTENDEE INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Guest (Optional)

First NameLast Name
Guest (Optional)

First NameLast Name
Guest (Optional)

First NameLast Name
Guest (Optional)

First NameLast Name
Please record any dietary restrictions with the name of the appropriate attendee(s):
Please e-transfer payment ($65 per person) to fundraising@uppercredit.com -- include "Wags" and your name in the memo.*

I acknowledge that this registration is not confirmed until payment has been received.
Should be Empty:

ATTENDEE INFORMATION