Name__________________________________
Address________________________________
City__________________________________
State_________________
Zip__________________
Telephone_____________________________
Email address___________________________
Name of dog____________________________
Signature_______________________________ / Date of signature_______________
By entering, I will adhere to all rules and decisions of Management of River Downs concerning the running of the race and all results. All decisions of management are final and binding to all participants.
We are also asking all participants to donate a minimum of $10.00 to the Dachshund Rescue of North America with submission of this entry form
Please circle which type of dog you are entering: Weiner Dog, Basset Hound, or Cavalier Spaniel.