Where Labs Find
     Loving Homes

Central Indiana Lab Rescue & Adoption, Inc.
Lab Rescue serving Indiana, Illinois, Minnesota and surrounding Midwestern states.


Reunion Registration 2010

Registration must be received by September 15, 2010

Name:
Address:
Phone:
E-mail Address:
   
Dogs Attending:
Total Number of Labs Attending?
Number of Senior Labs Attending?
 (Ages 8 & over)

Senior Lab Names & Ages:

People Attending:
Please calculate the amounts and enter it below:
Number of Adults:
@ $12 per person =
$
Number of Children (4-11):
@ $5 per child =
$
Number of Children (0-3):
Free =
$
I'm NOT able to attend, but I am sending a donation to support CILRA.
   
Donation =
$
  
TOTAL =
$

PAYMENT METHODS

Please check ONE of the three methods of payments below that you will do:

1. Write a check with the total amount to CILRA and mail to:Jackie Scott
4993 Harrison Circle
Carmel, IN 46033
2. Pay via Paypal by clicking here, and then click on the Paypal icon. CILRA ID is cilralabs@yahoo.com.
3. Pay the day of the event.
  
I fully understand that activities at CILRA's anniversary celebration, which include me, my friends, family and/or my dog(s) may be with some risk. By attending the picnic and participating in any of the activities sponsored by CILRA, I understand that I do at my/our own risk and that CILRA and its officers or any other person associated with CILRA are not liable for any accident or injury that may arise from my/our participation at the CILRA anniversary celebration. By clicking on the "Submit to CILRA" button below, it will serve as my acceptance of these terms.

All images, documents, and text on this web site are owned by Central Indiana Lab Rescue & Adoption, Inc. and may not be used or reproduced without written permission.

All images, documents, and text on this web site are owned by Central Indiana Lab Rescue & Adoption, Inc. and may not be used or reproduced without written permission.