Wiener Dog Race RegistrationImportantBe sure you read this document before completing the form below. Contact us if you have any questions or concerns.Contact InformationOwner* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Entry InformationDog's Name*Weight*Age*Gender*MaleFemaleUpdated on vaccinations?*YesNoOnly dogs updated on vaccinations are allowed to race.Rules and RegulationsAll dogs:Must have current shot recordMust be certified Wiener dog. This does not mean they have to be registered. If their shot record from the vet indicates breed of dog as dachshund, then it is a Wiener dog. NO mixed breeds please.All dogs must be on a leash.Owners are expected to clean up after their own dog. No dogs allowed in race that are in heat cycle.Pricing InformationEntry Fee Price: $10.00 Total $0.00 After pressing "Continue" below, you will be redirected to a PayPal processing page. You can pay via PayPal, debit or credit card. This iframe contains the logic required to handle Ajax powered Gravity Forms.
