Wag’n Walk Registration Form I am a: ________ walker ________ team ________ vendor _______ sponsor Phone:__________________________ email: ____________________________ Address:_________________________ City/State/Zip: _____________________ If an Individual Walker: Name________________________ If on a team: Team Leader: _______________ How many on your team? ____ Team Name __________________ Organization, if appl: _________________ If a vendor/sponsor: Business: ______________________ Please select one: ____ As a team leader, I will help my team raise a minimum of $25 per member. ____ I plan to be an individual walker, for a donation of $25. ____ I plan to pull a wagon, for a donation of $25. Kids in the wagon are free. ____ I don’t have a dog, but would like to adopt a dog for the walk, for a donation of $25 (dogs will be provided for the Humane Society). ____ My business would like to become a vendor for the event, for a donation of $25. ____ My organization/business would like to become a sponsor: Top Dog $5,000+ Leader of the Pack $2,500—$4,999 Hot Diggety Dog $ 500—$ 2,499 Puppy Power $ 50—$ $499 ____ In-Kind the form to email@example.com or Please returnDonation in amount of $__________. mail to PTC, Dogwalk, 663 Medical Ridge Rd., Clinton, SC 29325.
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