This document is a registration form for a dog race fundraiser being held by the Boys & Girls Club of Palacios as part of their 15th Annual Cinco de Mayo Celebration. It provides information on registration fees, categories for small, medium, and large dogs, and contact information. It also lists 7 acknowledgements including requirements that dogs be vaccinated, leashed when not racing, and that photos may be used for advertising. It indicates only the first 100 dogs registered can participate in races.

1. Boys & Girls Club of Palacios
“A Decade of Serving Youth”
15thAnnualCinco de Mayo Fundraiser
Registration Form
Races $10.00 entry fee
Contact: Andrea Lindley @ 361-404-1168
Assigned # ______
Dog’s Name: ________________________
Owner’s Name: ________________________
Address: ___________________________________
City: _____________________State: ______ Zip: ________
Phone: ___________________
Category
Small __________
Medium
__________
Large
__________
ACKNOWLEDGEMENTS:
1. All vaccinations must be current.
2. All dogs must be on leash when not involved in races.
3. Judges are not professional judges.
4. This is an event that is for entertainment only.
5. Boys & Girls Club of Palacios reserves the right to use photos for future advertising.
6.
Only the first one hundred dogs registered are eligible for races.
7.
Not responsible for accidents or injuries resulting directly or indirectly from participation.
By signing below, I agree to all rules set forth by the Boys & Girls Club Cinco de Mayo Committee and
understand all judge’s decisions are final.
_______________________________________
_______________
Owner’s Signature
Date

2. Boys & Girls Club of Palacios
“A Decade of Serving Youth”
15thAnnual Cinco de Mayo Celebration Fundraiser
Rules and Regulations
1. There will be a double elimination race with 2 to 5dogs racing at one time.
2. The winner will advance to another elimination race.
3. Dogs will race in order of their registration.
4. The announcer will call the numbers of the dogs that are to race in each race.
5. Because of the time involved, there will be only a two minute delay between
races or the time it takes for the numbers to be called.
6. There is no pushing your dog in order for it to run and there is no reaching out
for it at the finish line.
7. The judges will have final say whether a dog is disqualified from a race.
For more information on all events go
towww.palacioskids.org