
100% of all pledges will Spay and Neuter abandoned, homeless animals in our
community
”Save a Stray Pledge Today!”
Name: ______________________________________________________________________________________________
Address:
_________________________________City_______________________ Prov: _____
Postal:___________________
Pet(s)’s name (if
walking): ________________________________________ Phone (day):
____________________________
E Mail:______________________________________________________________________ Total
Pledges:
______________
Cheques
Payable to “Fixed Fur Life”
Tax receipts to be issued only to amounts
over $10.00
Full names, address’s and postal codes must be included
to receive a tax receipt.
Please print
clearly
|
Name |
Address-Phone number-Postal Code |
Amount |
Paid |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
WAIVER:
In
consideration of the acceptance of my entry, I hereby for my heirs, executors
and administrators assume any and all risks, which might be associated
with the Walk. I waive and release any and all rights and claims of any nature
for damages which I may have against the organizers and all others connected
with
the event, their representatives, successors and assigns for any and all
injuries or damages of any kind whatsoever suffered by me or my pet(s) as a
result of taking
part in the walk and any related activities.
Signature of Participant_________________________________________
Date: ________________________________________________________