A NON-PROFIT NO-KILL
PETSHELTER
Operated by the Northeast Ohio SPCA                      9555 Brookpark Road 
                                                                                                                 Parma, Ohio 44129
                                                                                                                      (216) 351-7387
2014 Dog Walk Registration Information

Submit this registration form WITH your donations to the Northeast Ohio SPCA.  To receive your official T-shirt before the event, turn your $25 or more pledges into the shelter by 5:00 pm, Thursday, May 8, 2014. You may also pledge via our PayPal link.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Phone:
Pet's Name:
   
Rabies Vaccine Date:
Email:
Group Name and/or Sponsor:
 Online Waiver and Release:  

In consideration of the Northeast Ohio SPCA, a non-profit, in Parma, Ohio, I do herby, for myself, my heirs, my executors and administrators release and forever discharge all such above named parties and their affiliates, successors and assigns, their officers, directors, employees, executors, administers, and volunteers, and also any and all rights and claims of any and all other persons, associations and corporations, whether herein named or referred to or not, and who, together with the above named, from any and all rights and claims of any nature which I may, or which may hereafter occur to me, against any such parties or any person connected with this event, individually or collectively, from any responsibility for any injury to person, apparel or equipment during such event.

 

The undersigned warrants that he/she is of the age of majority, which is a requirement for entrance and participation in said event.  (In the alternative, his/her guardian or parents must approve in writing such entrance or participation.)

Please acknowledge with an Online Signature
   
Pay Pal Confirmation#

Complete you 2014 Dog Walk Registration
with the convenient option of using
Pay Pal for your $25.00 or more pledge



Volunteer

Volunteer Form

We depend on volunteers like you to help care for our pets.  If you would like to volunteer at the Northeast Ohio SPCA located at 9555 Brookpark Road in Parma, Ohio 44129 please complete the following form. You must be 18 years of age to volunteer without a guardian and complete a release form. If you have any questions please contact Anita at (216) 351-7387.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Day's Available:
Time Available:
Area of Interest:

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