2021 Best Dog on Earth Day Registration

Release of Liability and Terms & Conditions

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INTRODUCTION

The BEST DOG ON EARTH DAY event will be on Saturday, April 24, 2021 at 10AM. Everyone who pre-registers using this online registration will be entered into a drawing for a gift basket. There is no registration fee, but donations are appreciated. This event is co-sponsored by the Rangeley Lakes Chamber of Commerce and Rangeley Health and Wellness.

NAME?

Your Full Name *:

DOB and Age

Your Date of Birth *:

Your Age *:

Mailing Address

Your Mailing Address *:

Physical Address

Your Physical Address:

Email Address

Your Email Address *:

Cell Phone

Your Cell Number *:

Dog's Name

Your Dog's Name *:

Your Dog's Breed

Your Dog's Breed:

Your Dog's Age

Your Dog's Age:

Emergency Contact Information

Emergency Contact Name *:

Emergency Contact Phone *:

Release of Liability and Terms & Conditions

By clicking SUBMIT, you agree to the RELEASE OF LIABILITY and TERMS & CONDITIONS (link to document at top of page).