Please fill out the form to register for the Walk for Paws. Your registration will be complete once payment is made. PLEASE NOTE there will be a Drive-By Pick Up Event scheduled to collect your TShirt, plus any Raffle Prizes, and Contest Prizes you won. You can create a personalized fundraising page to share & collect additional donations (and maybe win prizes!) by using the link at the end of this Registration.

Registration Fee *

Walk for Paws Registration Fee ($30 USD)

First Name *

Last Name *

Address *

City *

State *

Select an option:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code *

Email *

Phone Number *

Shirt Size *

None - I don't want a shirt
Small
Medium
Large
XL
2XL
3XL

Additional Donation ($ USD)

I have read and agree to the waiver & liability release *

Signature *

Date: Monday, 30 June 2025 (EDT)

Name:

Type your name to sign this document:

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