8 Annual MGA th
POOCH
PARADE SUN. OCT.
23
Bring your best friend (human or canine) & join the FUN while raising funds to support the free services provided by MGA!
2016
@ 9 am
SouthPark
call
Registration T-shirt Goody bag includes Dog Bandana ONE MILE on a level (412) 566 - 1545 visit: www.mgawpa.org fun walk paved trail
PRIZES
CONTESTS
FREE
DONATE
50/50 & Fantastic Basket Raffles, Silent Auction (with a Myrtle Beach Vacation)
COSTUME CONTEST with prizes for BEST pooch costume and BEST owner/pooch combo
PET VENDORS with FREE products and services + FREE face painting and candy for the kids
Bring a PET FOOD donation for South Hills Interfaith Ministries (SHIM) food pantry
Proceeds benefit FREE support services for people with Myasthenia Gravis. It’s hard to spell and hard to say, but it’s easy to help!
Strong Together... since 1955
Photos courtesy of: PhotographsbyDanelle.com
8th Annual MGA
Registration Form
SUNDAY, OCT. 23, 2016
South Park Harbor & Ethelbert Shelters
POOCH PARADE 9:00 am Registration & Refreshments 10:00 am Walk Begins
ADVANCE Registration fee of $25 (one walker/dog) includes a T-SHIRT, a GOODY BAG & a DOGGIE BANDANA (Limit 2 dogs per person. Add $10 for 2nd dog.) $15 reg. fee for walkers without dogs. Please note: Same Day Registration is $30 (one walker/dog) and $20 for walkers without dogs. • Prizes for the INDIVIDUAL & TEAM with the largest amount of $ pledges. • Enter the Halloween Costume contest. Prizes for best dog costume & best owner/dog combo costumes!
ONE FORM PER WALKER, PLEASE!
_____________________________________________________ Dog’s name(s) if applicable:
• Bring a donation of pet food for the South Hills Interfaith Ministries (SHIM) Food Pantry! • Don’t miss our fabulous raffles: gift baskets, and silent auctions (a Myrtle Beach vacation and more!) • Walk in honor or in memory of a loved one with MG! • All proceeds benefit the Myasthenia Gravis Association of WPA.
ALL DOG OWNERS MUST READ AND SIGN:
• All dogs will be screened as they come in • We reserve the right to turn away any dog that we deem a threat to others • Dogs in heat will be turned away • DOGS MUST BE LEASHED AT ALL TIMES • Limit of two dogs per walker • Owners are required to clean up after their pets • Dogs must be up-to-date on vaccinations • I give full permission to use my name and /or photograph or that of my dog • I give permission for first aid as deemed necessary for immediate safety
_____________________________________________________ Date:
ALL WALKERS MUST READ AND SIGN:
Waiver: Walking and mingling with pets involves risk of injury. I hereby waive all liability claims for myself, executor, administrators, and assigns against the Myasthenia Gravis Association of Western Pennsylvania or its representatives from any injury resulting from participation in this event.
_____________________________________________________ Signature:
RAIN or SHINE _____________________________________________________ Name:
• Vendors with free info & services for dog lovers such as “Ask the Vet” with Bethel Park Animal Clinic.
Signature:
(Near Doggie Park & Gazebo)
Date:
_____________________________________________________ Address: City: Zip: _____________________________________________________ Phone: _____________________________________________________ Email: _____________________________________________________ Group or Company TEAM Name if any: Adult T-SHIRT size: Small ____Medium ____ Large _____ XL ____ XXL ____ XXXL ____ REGISTRATIONS MUST BE RECEIVED BY October 7th TO GUARANTEE SIZES
(Additional T-Shirts may be ordered @ $15 each) _____________________________________________________ Emergency contact: Phone:
Make check payable to MGA and mail with form to: 490 East North Ave. Suite 410, Pittsburgh, PA 15212
Strong Together... since 1955
Call (412) 566 – 1545 to pay by credit card Fax (412) 566 – 1550 www.mgawpa.org
8th Annual MGA
Pledge Form
SUNDAY, OCT. 23, 2016
South Park Harbor & Ethelbert Shelters
POOCH PARADE 9:00 am Registration & Refreshments 10:00 am Walk Begins
(Near Doggie Park & Gazebo)
PLEDGE FORM Prizes for top individual & team pledges! List sponsors below and bring form and donations with you! _____________________________________________ Your Name: SPONSOR’S NAME
_________________________________________ Team Name, if applicable
PLEDGE
______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________
$____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________
SPONSOR’S NAME
__________________ Pledge Goal $ PLEDGE
______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________
$____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________ $____________
TOTAL PLEDGES $______________
All proceeds benefit the Myasthenia Gravis Association of Western PA Strong Together... since 1955
490 East North Ave. Suite 410, Pittsburgh, PA 15212 (412) 566 – 1545 | www.mgawpa.org
Newspaper Advertisement
8th Annual MGA
POOCH PARADE SUNDAY, OCT. 23, 2016
9:00 am Registration & Refreshments 10:00 am Walk Begins
ACTIVITIES INCLUDE • Costume Contest • Chinese Auction • Silent Auction • Vendors • Face Painting
South Park Harbor & Ethelbert Shelters (Near Doggie Park & Gazebo)
for more info
call (412) 566 - 1545
visit: www.mgawpa.org
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PROCEEDS BENEFIT
Strong Together... since 1955