The 2015 Pet-A-Thon Sponsor Sheet

Humane Society Waterville Area
presents The 2015 Pet-­‐A-­‐Thon Sunday, May 17, 2015 at 10:00 AM Registration: 9:00-­‐10:00 AM American Legion, College Avenue, Waterville
Sponsor Name Email Phone Total Collected Total Pledged • Pledge money must be turned in when you sign-­‐in to walk. • Any walker submitting at least $50 receives a free T-­‐shirt. • It is NOT necessary to have a pet to participate in the walk. Name:
Address:
Email: Phone:
Signature or Parent/Guardian if under 18:
How did you hear about Pet-­‐a-­‐Thon?
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WAIVER: IN CONSIDERATION OF MY SIGNING THIS
AGREEMENT, I HEREBY FOR MYSELF, MY HEIRS AND
ADMINISTRATOR ASSUME ANY AND ALL RISKS WHICH MIGHT
BE ASSOCIATED WITH THE WALK. I WAIVE AND RELEASE ANY
AND ALL RIGHTS AND CLAIMS FOR DAMAGES WHICH I MAY
HAVE AGAINST THE ORGANIZERS AND OTHERS CONNECTED
WITH THIS EVENT, THEIR REPRESENTATIVES, SUCCESSORS,
AND ASSIGNS FOR ANY AND ALL INJURIES OR DAMAGES OF
ANY KIND WHATSOEVER SUFFERED BY ME AS A RESULT OF
TAKING PART IN THE WALK AND RELATED ACTIVITIES. I ALSO
GIVE FULL PERMISSION FOR USE OF MY NAME AND/OR
PHOTOGRAPH IN CONNECTION WITH THIS EVENT.
BRING THIS SHEET & PLEDGE MONEY WITH YOU THE MORNING OF THE WALK Make a copy for your records. Make checks payable to HSWA. Receipts are available at registration. Pledge dollars provide food, shelter, medical care, and love to unwanted, homeless, sick or injured animals. Ask your friends, neighbors, relatives and co-­‐workers to pledge an amount per lap or a set donation. If you need additional pledge sheets, you may use a separate piece of paper or copy this sheet. Water and dog curbing materials are provided at the site. NO retractable leashes, rollerblades, or skateboards, please. T-­‐shirts will be awarded to the participants TURNING IN $50 or more. Dogs under 4 months, vicious dogs, or female dogs in heat are not allowed to participate. Please support our sponsors!!  Please us
dog does not get overheated. e good judgment regarding the outdoor temperature. Be sure your 
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