Basset and Beagle Rescue of the Heartland

Parade Registration

 

 

  Your Name  
  Address  
  City  
  State  
  Zip Code  
  Home Phone Number  
  Alternate Phone Number  
  Email  
  # of Persons Attending  
  # of Hounds Attending  
       
  Accommodations (please check one)  
  We will be staying at the LaQuinta   Friday   Saturday  
  We will be staying at the Quality Inn  Friday   Saturday  
  We will be staying at the Comfort Inn West   Friday   Saturday  
  We do not need accommodations  
       
  Meal    
    We would like to purchase number of meals for Saturday afternoon @$6/meal  
    Number of children (under age of 12) @$4/meal  
       
  Shindig T-shirts (please fill in numbers as needed)  
  Short Sleeved Small     
Medium 
Large     
XL                                  @ $15/Shirt = $		  
    XXL       
XXXL                       @ $16/Shirt = $		  
       
   

 
       
 

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