I would like to register for:

Art Unleashed Dog-N-Jog Big Martini
Art Unleashed Dog-N-Jog Big Martini

Art Unleashed Event Admission

Saturday, August 19th 6-9:30pm

General Admission - $100 per person

Table of 8 - $700 per table

Dog-N-Jog Event Admission

Sunday, June 11, 2017

Please remember: No refunds or transfers. Event is rain or shine.

Big Martini Ticket Purchase

Wednesday, October 19th, 2016

5:30pm - until the well runs dry

$50 per ticket

* = Required Field

Your Contact Information
Art Unleashed Registration Information

Select Your Purchase

X $100 each

Guest 1

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Guest 8

Guest 9

Guest 10

X $700 each

Table 1

Table 1 Guest 1

Table 1 Guest 2

Table 1 Guest 3

Table 1 Guest 4

Table 1 Guest 5

Table 1 Guest 6

Table 1 Guest 7

Table 1 Guest 8

Table 2

Table 2 Guest 1

Table 2 Guest 2

Table 2 Guest 3

Table 2 Guest 4

Table 2 Guest 5

Table 2 Guest 6

Table 2 Guest 7

Table 2 Guest 8

Table 3

Table 3 Guest 1

Table 3 Guest 2

Table 3 Guest 3

Table 3 Guest 4

Table 3 Guest 5

Table 3 Guest 6

Table 3 Guest 7

Table 3 Guest 8

Table 4

Table 4 Guest 1

Table 4 Guest 2

Table 4 Guest 3

Table 4 Guest 4

Table 4 Guest 5

Table 4 Guest 6

Table 4 Guest 7

Table 4 Guest 8

Table 5

Table 5 Guest 1

Table 5 Guest 2

Table 5 Guest 3

Table 5 Guest 4

Table 5 Guest 5

Table 5 Guest 6

Table 5 Guest 7

Table 5 Guest 8

Dog-N-Jog Registration Information

Please note, every effort will be made to provide the shirt size you've requested. Size quantities are limited and we may run out of your preferred size. To help ensure you receive the size you've requested we encourage you to pick up your Dog-N-Jog Fun Pack and T-shirt at one of our packet pickup locations on Saturday. (Locations are listed at dognjog.org.)

Fun Pack Pickup

Event Choice

WE MUST HAVE RABIES INFORMATION TO PROCESS YOUR ENTRY.

Extra T-Shirts

$15 Each

Raffle Tickets

Dog Contests

I want to pre-register for:

(You can also register for the dog contests on event day.)

Please add a tax deductible donation of:

Just a Few More Questions

By clicking the link below, a new tab will open in your web browser with the 2014 Dog-N-Jog Fundraising site. You will be able to sign-up for your own personal fundraising page on that site. Don't forget to come back here once the page opens and finish your registration! You can also copy and paste the link into your browser instead.
https://bos.etapestry.com/fundraiser/HumaneSocietyofGreaterKans/2014DogNJog/

I want to make a difference for shelter pets!

Waiver

Must be signed by runner/walker and owner of dog to be accepted! This Waiver, Release and Covenant Not to Sue and indemnification Agreement (Agreement) must be signed by runner/walker and owner of dog to be accepted. It must also be signed by the parent or guardian of any runner/walker under the age of 18 years. I give and agree to the following Agreement in one or more of the following capacities and for and on behalf of the following: (1) For Myself in all cases, whether or not a participant; (2) for my child or ward if a participant in the race; and (3) for my dog. I have been advised and understand the following WARNINGS and DISCLOSURES: (i) running a road race is a dangerous and potentially hazardous activity; (ii) no person or dog should enter unless medically able and properly trained; (iii) although police protection will be provided, there will be traffic on the course; (iv) all participants and dogs assume the risk of running in traffic; and (v) all participants and dogs assume any and all risks associated with participating in this event, including, but not limited to falls, contact with other participants, motor vehicles, dog bite, tripping, the effects of the weather and the condition of the roads. Having been given these warnings and disclosures, and in consideration of and as a condition of to your accepting my entry, I hereby waive, for and on behalf of myself, my dog and my child participant, if under 18 years of age, and release and forever discharge and covenant not to sue, and further agree to hold harmless and indemnify, The Humane Society of Greater Kansas City, and any and all sponsors of the event, their agents, servants, employees, assigns or anyone acting on their behalf from and of any and all claims, demands, causes of action or other relief for damages for personal or bodily injury or property damage of any kind or nature whatsoever arising out of or in the course of participation in this event. This Agreement extends to all claims of any kind or character whatsoever, foreseen or unforeseen, known or unknown. I further grant permission to any and all of the foregoing to use any photographs, videotapes or any other record for any lawful purpose. If I am participating with a dog I do not own, I will not participate with that dog unless the owner of the dog has read the entry form and this Agreement and executes it, making all the certifications and warranties contained within it, which I believe to be true. This Agreement shall be binding upon me, my child or ward, and my heirs, executors, administrators and assigns, or anyone else who may claim on my behalf.

Type in the full name of the following to agree to the waiver above.

Additional Person

Contact Information

Event Choice

Dog Information

WE MUST HAVE RABIES INFORMATION TO PROCESS YOUR ENTRY.

Waiver

Must be signed by runner/walker and owner of dog to be accepted! This Waiver, Release and Covenant Not to Sue and indemnification Agreement (Agreement) must be signed by runner/walker and owner of dog to be accepted. It must also be signed by the parent or guardian of any runner/walker under the age of 18 years. I give and agree to the following Agreement in one or more of the following capacities and for and on behalf of the following: (1) For Myself in all cases, whether or not a participant; (2) for my child or ward if a participant in the race; and (3) for my dog. I have been advised and understand the following WARNINGS and DISCLOSURES: (i) running a road race is a dangerous and potentially hazardous activity; (ii) no person or dog should enter unless medically able and properly trained; (iii) although police protection will be provided, there will be traffic on the course; (iv) all participants and dogs assume the risk of running in traffic; and (v) all participants and dogs assume any and all risks associated with participating in this event, including, but not limited to falls, contact with other participants, motor vehicles, dog bite, tripping, the effects of the weather and the condition of the roads. Having been given these warnings and disclosures, and in consideration of and as a condition of to your accepting my entry, I hereby waive, for and on behalf of myself, my dog and my child participant, if under 18 years of age, and release and forever discharge and covenant not to sue, and further agree to hold harmless and indemnify, The Humane Society of Greater Kansas City, and any and all sponsors of the event, their agents, servants, employees, assigns or anyone acting on their behalf from and of any and all claims, demands, causes of action or other relief for damages for personal or bodily injury or property damage of any kind or nature whatsoever arising out of or in the course of participation in this event. This Agreement extends to all claims of any kind or character whatsoever, foreseen or unforeseen, known or unknown. I further grant permission to any and all of the foregoing to use any photographs, videotapes or any other record for any lawful purpose. If I am participating with a dog I do not own, I will not participate with that dog unless the owner of the dog has read the entry form and this Agreement and executes it, making all the certifications and warranties contained within it, which I believe to be true. This Agreement shall be binding upon me, my child or ward, and my heirs, executors, administrators and assigns, or anyone else who may claim on my behalf.

Type in the full name of the following to agree to the waiver above.

Big Martini Registration Information

Individual Tickets

$50 each

X $50 each

Table Sponsors

VIP Table Sponsor - $350 (includes drink service for 6) SOLD OUT

Premium Table Sponsor - $250 (includes drink service for 4) SOLD OUT

Guest Names

Payment Information
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