Walker Registration

The registration fee starts at $25, but don't forget to reach out to friend's and family to collect pledges!

Registration Packages

Choose one of the following packages:

$25 Basic Package

  • 1 wine or pint glass

$100 Deluxe Package

  • 1 t-shirt or 2 wine/pint glasses
  • 1 bottle of wine or 1 pizza

$200 Premium Package

  • 2 t-shirts or 4 wine/pint glasses
  • 1 bottle of wine
  • 1 pizza

Package Add-on

$5 Wine Tasting

  • Add a wine tasting to any package

Walker Information

Name

Pet Name

Pet Breed/Mix

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.

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 the organizers and Quattro Goomba's Winery 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 Wine • Wag • Walk event on Saturday September 17, 2016.