Walker Registration

As an official walker, I agree to raise at least $25 in pledges in order to participate.

Name

Pet Name

Pet Breed

Date Adopted*

* If your pet was not adopted, you can leave this field blank.

Adopted from HART

Yes No

Address

Email Address

Confirm Email Address

Name of Walking Team*

* If you are walking with a team, enter the team name here, otherwise leave this field blank.

Rules and Regulations

  • Pets must be child friendly. Any pet pet exhibiting aggressive behavior will be asked to leave.
  • Pets must be on a leash at all times.
  • Please clean up after your pet. Waste bags will be available if needed.
  • Children under the age of 16 must be accompanied by a parent.

Event Waiver

By submitting your registration form, you are agreeing to the following liability waiver:

I understand that participating in the recreational activities may pose a risk, and I hereby release HART and NVRPA from any liability to me or to others in my party arising out of any accident, injury, or loss or damage of personal property that results from my voluntary participation in any activities at the HART "Walk for the Animals" to be held at Bull Run Regional Park Special Events Center, Sunday October 2nd, 2011.