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  • 2nd Annual Roundtown Wiener Dog Derby

    2026
  • Gender
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Class

  • My Products

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    Wiener dog registration Product Image
    Wiener dog registration
    $5.00$5.00
      
    Credit card fee Product Image
    Credit card fee
    $1.50$1.50
      
    Wanna be a wiener Product Image
    Wanna be a wiener
    $5.00$5.00
      
    Total
    $0.00$0.00

    Credit Card

  • Owner certification and liability release

    • I am at least 18 years of age or will have a legal guardian present.
    • I will not hold Pickaway Agricultural Society or any event sponsor liable for (i)any injury to my dog, or (ii) any cost incurred for misbehaved dogs, accidents, or injuries as a result of this event.
    • I agree that I am responsible for controlling my dog at all times and I will pick up after my dog.
    • My dog is current on all required vaccines and will wear a nametag.
    • I agree to keep my dog on a leah except when racing.
    • I agree to allow any photo or video of me and my dog taken during the race or parade to be published and/or used in future marketing of PCAS events.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • Date
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