6th Annual MGA Pooch Parade Rain or Shine!! Sunday October 26, 2014 South Park Harbor & Ethelbert Shelters (Near Doggie Park & Gazebo) 9:00 am Registration and Morning Refreshments 10:00am Walk Begins Registration fee of $25 (one walker/dog) includes a T-SHIRT, a GOODY BAG & a DOGGIE BANDANNA. (Limit 2 dogs per person. Add $10 for 2nd dog.) $15 reg. fee for walkers without dogs.      Prizes for the INDIVIDUAL & TEAM with the largest amount of $ pledges. (pledge form attached) Enter the Halloween Costume contest. Prizes for best dog costume & best owner/dog combo costumes! Vendors with free info & services for dog lovers such as “Ask the Vet” with Dr. Marina Siegert or Bethel Park Animal Clinic. Bring your used eyeglasses to the Lions Club booth! Don’t miss our fabulous raffles: gift baskets, and silent auctions, like Steeler Tickets & a Myrtle Beach vacation!  All proceeds benefit the Myasthenia Gravis Association of Western PA. Make checks payable to MGA Mail form and check to: MGA 490 East North Ave. Suite 410 Pittsburgh, PA, 15212 Call to pay by credit card: Phone: 412-566-1545 Fax: 412-566-1550 www.mgawpa.org Name:__________________________ Dog’s name(s): if applicable:______________________________ Address: ___________________________City: ________State:_____ Zip: _______Phone: ___________ Email: ____________________ Group or Company TEAM Name if any: __________________________ Adult T-SHIRT size: Small ____Medium ____ Large _____ XL ____ XXL ____ XXXL ____ REGISTRATIONS MUST BE RECEIVED BY SEPT. 30th TO GUARANTEE SIZES (Additional T-Shirts may be ordered @ $15 each) Emergency contact: _____________________ Phone: ____________ ONE FORM PER WALKER, PLEASE! All walkers must read and sign: All dog owners must read and sign:          All dogs will be screened as they come in We reserve the right to turn away any dog that we deem a threat to others. Waiver: Walking and mingling with pets involves risk of injury. I hereby waive all liability claims for myself, executor, administrators, and assigns against the Myasthenia Gravis Association of Western Pennsylvania or its representatives from any injury resulting from participation in this event. Dogs in heat will be turned away DOGS MUST BE LEASHED AT ALL TIMES Limit of two dogs per walker. Owners are required to clean up after their pets Dogs must be up-to-date on vaccinations I give full permission to use my name and /or photograph or that of my dog I give permission for such first aid as deemed necessary for immediate safety. Signature Date Signature Date Signature of parent or guardian if under 18 years of age. Date MGA’s 6th Annual Pooch Parade Sunday, October 26th 2014 ~ South Park Harbor & Ethelbert Shelters 9am Registration & Morning Refreshments ~ 10am Walk All proceeds benefit the Myasthenia Gravis Association of Western PA www.mgawpa.org 412-566-1545 PLEDGE FORM Prizes for top individual & team pledges! List sponsors below and bring form and donations with you! Pledge Goal $____ Your Name:_____________________________ Team Name, if applicable_____________________________ Sponsor’s Name Pledge Sponsor’s Name Pledge ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ ______________________________$_______ TOTAL PLEDGES $______