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2011 Wiener Dog Race Entry Form

 

 

  PRE-REGISTRATION IS OPEN FOR THE  2012 RACES

 

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Dog’s Name
Where Dog is Traveling From
Weight /Age
Vet
Tag/License #
   
Owner’s Name
Owner’s Email * For contact purposes please enter your email address. If you don't have an email address then please enter your mailing address.
Owner’s Address
In consideration of my participation in the Annual Wiener Dog Races, I wave the organizers, property owners, sponsors & all competitors for damages or injuries to myself or my pet during the event. I will permit free use of pictures in broadcasts, newsletters and other media coverage.