Greyt Greyhound Gathering

Please fill out one registration form for each person attending:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Would you like to purchase an event t-shirt this year for $12.00?

Yes
No

What size t-shirt?

M L XL XXL XXXL

Please list the name and breed type of each dog you'll bring:

In return for my right to participate in the Greyt Greyhound Gathering at the Agricultural Hall of Fame, or the right of my spouse to participate in the Greyt Greyhound Gathering at Agricultural Hall of Fame, I hereby, for myself, for my children as their legal guardian, my heirs, executors and administrators, waive and release any and all rights and claims for damages arising from this event which I, my children, my heirs, executors and administrators, may have against MoKan Greyhound Adoption, Agricultural Hall of Fame, any sponsors of this event and any volunteers, employees, or agents, and any individuals associated with the event. I understand that, without limitation, I am releasing claims arising from the maintenance, control or inspection of Agricultural Hall of Fame and the event area, control of the participants, spectators and dogs involved with the event, management and conduct of the event itself, and all other conditions associated or involved with this event, before, during or after the event. I also understand that I am specifically releasing the following general types of claims, without limitation; claims for personal injury to myself or spouse, injury to my dog and damage to any personal property. I declare that both my dog and I are in proper physical condition to participate in this event, that my dog has all current vaccinations as required by law and that my participation is undertaken at my own risk. I also consent that use of my photograph or likeness from this event for any legitimate purpose.

I Agree
I Do Not Agree

You must submit one registration per person registering.

To complete registration using PayPal, click the Submit Form button. 

If you prefer to send the registration with a check, print this page and mail it with your check made payable to MoKan Greyhound Adoption to:

Greyt Greyhound Gathering
PO Box 234
Independence, MO 64051