Registration Fee is $10.00 per person: *T-shirts (pictured above) will not be included in the registration fee this year. T-shirts can be purchased for $12.00.
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 (design is pictured above)?
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 Camp Shawnee, or the right of my spouse to participate in the Greyt Greyhound Gathering at Camp Shawnee, 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 GPA MoKan, Camp Shawnee, 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 Camp Shawnee 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 out to GPA-MoKan to: Greyt Greyhound Gathering 936 S. Pope Independence, MO 64050
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 out to GPA-MoKan to:
Greyt Greyhound Gathering 936 S. Pope Independence, MO 64050
