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Sponsor Sheet
Please Print Legibly
Please remember to bring
your donations when you register
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name __________________
Address _________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
Name ____________________
Address __________________
City State Zip _____________
Amount
______________
If you have additional sponsors attach
the list to the Registration form.
Total Donations: $________
2015
Parma Animal Shelter
16th Annual
Dog Walk and
Pet Blessing
Benefiting the
Parma Animal Shelter Inc.
6260 State Road
Parma, OH
www.parmashelter.org
SATURDAY,
June 27, 2015
Pet Blessing 12:00 Noon
WALK BEGINS PROMPTLY @ 12:15
Led by Councilman Brian Day & Gipper
Registration begins at 11:00 am
How to Enter
Complete the Registration Form and bring
your form and any donations to the
Summer Fair. These donations will
benefit the animals at the Shelter. The
more you collect the better and the
better your chances are to win a prize.
LOCATION OF EVENT
South of the I480 – State Road Exit
6260 State Road, Parma OH 44134
(440) 885-8014
The Day of the Walk
Walkers who raise $35.00 or more will
have the $5.00 registration fee waived
and will have a chance at winning prizes.
How you can help even if
you can’t attend the Dog
Walk
Just send this section of the Registration
form: I will not be able to walk or visit
the shelter, but have enclosed a donation
to the Parma Animal Shelter and would
like to sponsor a Shelter Dog’s walk:
(Please Print Legibly)
Name __________________________
Address ________________________
City State Zip ____________________
E-mail address____________________
Age (if under 18): _________________
I plan to walk with a dog:
YES
NO
If yes, please included dog’s name:
Registration begins at 11:00 a.m. The
Registration table will be located near
the tennis courts. Parking is just off
State Road in the Veterans Memorial Park
below the tennis courts. We’ll walk rain
or shine so make sure you and your pet
are prepared.
Goal Achievement Prizes
Registration Form
Waiver of Responsibility
Each participant MUST read and sign
below:
PET BLESSING @Noon
by Rev. James Mazanec of St. Columbkille
ON THE TENNIS COURTS
Name: ________________________
Address: _______________________
City, State, Zip __________________
E-Mail Address __________________
Amount Enclosed _______________
For your convenience we have enclosed
a self-addressed envelope. Hope to see
you next year.
I, the undersigned, for my heirs, and
myself hereby waive and release any and
all rights and claims for damages which I
may have against the Parma Animal
Shelter Inc., City of Parma, any sponsors
of this event, their employees, agents or
any of them arising out of my dog’s
participation in the dog walk, and agree to
hold them harmless from all costs,
expense and liability arising out of my
participation in this event. I also agree
to exercise all safety precautions, avoid
littering and to respect the property of
others. I also give full permission for the
use of my name and photograph in
connection with the event.
SIGNATURE: ___________________
(Parent or legal guardian if under 18 yrs
of age)