Northern Pines SDR
Mutt Run
Registration Form

$10 Entry Fee for Each Mini-Musher

Required Form Fields *

Registration Mutt Run

First Name of Mini-Musher

Last Name of Mini-Musher

Address

City

State

Zip Code

Parent or Guardian First Name

Parent or Guardian Last Name

Phone/Mobile #

Pease share any tidbits of information about your Mini-Musher

Pease share a "funny story" about your Mini-Musher

Age of Mini-Musher? The Mutt Race is open to kids from 4-8 and 9-12 years of age.

The pool of dogs available to borrow is unpredictable. We will do our best to accommodate everyone, but it may not be possible. We HIGHLY recommend bringing your own pet. Mutt Run participants are not guaranteed to receive a Mutt dog from this event.
Your entry will be put on a “Reserve Basis” if a dog is not available. Harnesses are available to borrow for dogs not having one and must be returned immediately after the Mini-Musher clears the chute. All dogs entered must meet the rules set for the Mutt Run.

Will you provide your Mutt?

I have a Mutt

I'll need to borrow a Mutt (if one is available)

Please confirm that your dog has current Rabies and DHLPP vaccinations?

Yes

Name of your dog?

What is your dog's breed?

What is the weight of your dog (Lb's)?

Mutt Run Registration Fee ($)

Registration Fee Mutt Run: $10.00

Additional Donation to the NPSDR (OPTIONAL). Thank you for all your support.

I grant permission for this website to retain the information I have submitted. This is to facilitate a response to my inquiry. In submitting this Mutt Run Registration Form, I agree to the NPSDR Privacy Policy, Mutt Rules, Waver, Photo Release and Dog Vaccination Requirements. When at this event, you will be required to sign a Parent/Guardian Consent form.

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