Registration Form

Walker Information



Dog Information

0-20 lbs.
20-40 lbs.
40-60 lbs.
Over 60 lbs.

Yes
No

Waiver

By registering you agree to the following waiver:

I agree to follow the rules of this Doggone Fun On The Run event and of Otsiningo Park. I certify that my dog is current on vaccinations, is not in heat, and is at least six (6) months old. I understand that the event staff can ask me to remove my dog from the event at any time, if my animal becomes aggressive toward people or other dogs.

I agree that I will be responsible for controlling my dog at all times, and that the organizers, staff and volunteers holding this event will not be liable for any damage or injury arising from the behavior of my dog.

I understand that by signing this document, I agree to hold harmless Southern Tier AIDS Program, Inc., including its employees, volunteers and agents; all sponsoring organizations, and any other parties connected to this event in any way, singly or collectively, from and against any blame or liability for any injury, harm, loss, inconvenience, or damage hereby suffered or sustained as a result of participation
in this event or any activities associated herewith. I hereby give my permission to Southern Tier AIDS Program, Inc. to use my photograph whether still, motion, or television in any legal manner whatsoever.