Animal Rescue Volunteers

You must be 18 years or older to fill out the registration form. If the walker is not 18 years or older, please enter the name of the parent or guardian filling out this form:

Parent/Guardian First Name:

Parent/Guardian Last Name:

All * Fields are required:

Please enter only 1 name per form. (ie do not enter John & Mary Smith)

After you click Submit, you have the opportunity to go back to enter more names individually

*Walker's First Name:
*Walker's Last Name:
*Address:
*City:
*State:
*Zip:
*Phone:	{ format: 999-999-9999 }
*Email:

*How did you hear about Wag 'n Walk (please select 1)?
Attended last year Welcome to the Neighborhood Magazine Happenings Magazine The Pet Press Ventura County Star The Acorn From a friend Flyer at Starbuck's in Simi Valley Flyer at Petsmart in Simi Valley Flyer at a vet or pet related business in Simi Valley (other than Petsmart) Flyer at a vet or pet related business in Agoura Hills Flyer at a vet or pet related business in Calabasas Flyer at a vet or pet related business in Camarillo, Oxnard, or Port Hueneme Flyer at a vet or pet related business in Canoga Park Flyer at a vet or pet related business in Chatsworth Flyer at a vet or pet related business in Encino Flyer at a vet or pet related business in Granada Hills, Mission Hills, or North Hills Flyer at a vet or pet related business in Moorpark or Newbury Park Flyer at a vet or pet related business in Northridge Flyer at a vet or pet related business in Reseda Flyer at a vet or pet related business in Sherman Oaks Flyer at a vet or pet related business in Studio City Flyer at a vet or pet related business in Tarzana Flyer at a vet or pet related business in Thousand Oaks or Westlake Village Flyer at a vet or pet related business in Van Nuys Flyer at a vet or pet related business in Ventura Flyer at a vet or pet related business in West Hills or Woodland Hills Other :{please specify}

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