LRGR Pups in the Pool

LRGR Pups In The Pool
Event Time: 9:30am- 2:30pm

Session Times: 9:30 FULL, 10:00 FULL, 10:30,FULL 11:00 FULL, 11:30FULL, 12:00 Full, 12:30, 1:00,1:30

The session times are arrival times only. The session times help control the flow of dogs in the pool. Please arrive at your assigned time.

Once inside, you may stay as long as you like.

Each dog must have an adult to oversee their swim session.

$25 per dog
Name

First Name Last Name
Address

Street Address

City State / Province

Postal / Zip Code
E-mail *
Phone Number

Area Code Phone Number
1. Dog's name *
Session Time *
Expiration Date of Rabies Vaccine *
Month/Day/Year
2. Dog's name
Session Time
Expiration Date of Rabies Vaccine
Is the dog friendly with other dogs?

Yes No
Is the dog friendly with other people?

yes No
Has the dog ever bitten another dog or people?

Yes No
Owner(s) Agreement and Acknowledgement
1. I being the legal owner of the Dog, certify that the information relating to the Dog provided on this form is true and correct. I also certify that the above dog(s) are Fully vaccinated.
1. I understand that the act of unleashing the Dog and being physically present inside the pool area necessarily involves risk of injury to me, to other people, to the Dog, and to other dogs. I understand these risks are entirely my responsibility and assume all risk associated with participation in Doggie Swim Fundraiser (the “Event”).
1. I hereby release and hold harmless Ashcreek Pool (the “Pool”) and LRGR and the officers, directors, employees, volunteers and agents of the Pool and LRGR against any and all claims, lawsuits, damages, costs, losses, expenses and liabilities arising out of or relating to any injury or damage to personal property (including the Dog) or people (including me) caused by any person or dog that I may come into contact with at the Event.
1. I understand that LRGR retains the right and has sole discretion at any time to deny entry to any dog (including the Dog) or owner (including me) or to remove a dog (including the Dog) and owner (including me) from the Event.
1. I have carefully read this form and understand and fully agree with its contents.
I Agree *

No baby strollers inside the pool area. Children must remain under close supervision. BY SUBMITTING THIS ONLINE FORM, I agree with the rules of the event, I ACKNOWLEDGE THAT ALL INFORMATION IS TRUE AND CORRECT.
Signature *

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LRGR Pups In the Pool *
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Dog Swim $ 25.00

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LRGR Pups In The Pool

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