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Mutt Strut 2025

Participation Agreement and Release from Liability


WAIVER OF RESPONSIBILITY: In consideration of being permitted to participate in Lake Humane Society's Mutt Strut on Sunday, August 24, 2025, the undersigned, for myself, my heirs, executors, and administrators, hereby waive and release any rights and claims for injuries, losses, costs, liabilities, and damages which I may have against the Lake Humane Society's Mutt Strut event, any sponsor, of the event, their employees, agents, or any of them arising out of related or attributed to my dog's participation at Mutt Strut, and agree to indemnify and hold them harmless from all cost, losses, expenses, and liability arising out of my or my dog's participation in this event. I also agree to exercise all safety precautions, avoid littering, and respect the property and others. I grant full permission to use my name and photograph or videotape in connection with the event.

RESPONSIBILITY FOR DOG BEHAVIOR: I understand and agree that I am solely responsible for my dog's behavior during the event. This includes, but is not limited to, any aggression, damage, or disturbances caused by my dog. I acknowledge that it is my duty to ensure that my dog is under control at all times.

EMERGENCY TREATMENT: I grant permission to Lake Humane Society and its assignees or agents to authorize emergency treatment for me and my guests at my cost. In the event of a medical emergency involving my dog, I grant permission for the event organizers or their designees to seek veterinary care if I am unable to provide immediate assistance.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email
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Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*

Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.



By signing below, the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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