Corgi Takeover Contest Entry Form

Corgi Takeover Contest Entry Form
Entry Fee: $5.00 for each contest

Awards: 1st place will receive a trophy, gifts, and bragging rights!

Registration: Until Friday June 5th

Judging: There will be 3 Judges and winner will be announced at 5pm
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Total Fee
Rules:
- Must be a corgi to enter
- Have fun!
I, undersigned, agree with the following statements:

I am the participant of the contest or the owner of the participant.I understand, appreciate and acknowledge that this is a public event where other dogs will be.I hereby release any and all rights of photo use of my cute corgi. And hold harmless Moments, their representivies, and the city of Bremerton.I understand that my dog must be kept on a leash at all times.
Name of Undersigned

First NameLast Name
Date

MonthDayYear
Date
Signature
Should be Empty: