LDR Six Legged Hike 2015 Registration Form

SIX SIX-LEGGED HIKE Where: Rouge Valley, Twyn Rivers Area When: Saturday, May 23, 2015 at 10:00 a.m. Check in registration begins at 9:15 a.m. REGISTRATION FORM Please print legibly and complete the participant information in full. You can also email completed forms to sixleggedhike@gmail.com Each two-legged participant is required to make a minimum $25.00 donation to participate. Tax receipts will be issued for donations of $25 or more. Pledge forms and pledges can be dropped off when you sign in on May 23. Two Legger’s Name: _____________________________________________________________________ Home Address: __________________________________________________ Apt./Suite: ____________ City: ___________________________________ Postal Code: ___________________________________ Home Phone: ____________________________ Cell/Business Phone: ____________________________ E-mail: ________________________________________________________________________________ Four-Legger’s Name(s): _________________________________________________________________ I don’t have my own four-legger and would like to walk with one of the dogs awaiting adoption Please indicate below how the two-legger will be making the $25.00 minimum donation: I will bring $25.00 in cash on May 23, 2015 I will bring a cheque made payable to “LotsaDogs Rescue” on May 23, 2015 I have made my required minimum $25.00 donation at www.CanadaHelps.org. Transaction number _____________________________ Please include the two-leggers name in the message section For more information about LotsaDogs Rescue, please visit http://awos.petfinder.com/shelters/ON258.html