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Jog the Dog Auckland 2005
Registration Form
(please print and post with your
payment)
A fun run/walk with your favourite
pooch
One Tree Hill Domain. Approx 4kms or 2.5 km option
Sunday April 10th 2005 10am start
(rain date Sunday 24th April 2005)
(PLEASE PRINT CLEARLY)
Dog's
Name/s__________________________________________________________________________
Dog's Size Small [ ]
Medium [ ]
Large [ ]
Phone Number
_________________________________________________________________________
Dog's
Address__________________________________________________________________________
Email
address__________________________________________________________________________
Dog's Registration Number_____________________________City
Council_________________________
Dog's Vet___________________________________________Have you entered
before Yes [ ] No [ ]
Owner's
Name__________________________________________________________________________
ENTRY FEES MUST BE ENCLOSED WITH THIS REGISTRATION FORM
Entry Fee
$15.00 Single dog
$20.00 Family Entrant (two or more dogs in the same household)
Please make your cheque payable to : Event Creators
Post to: PURINA Jog the Dog
Event
Creators Ltd
PO Box
91737, Auckland Mail Centre
Phone
09 378 2190 Fax: 09 378 2191
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