MSIR's Chicago Shiba-Ween - October 27, 2007

Instructions:
Please fill out this form so we can prepare for the number of people and dogs attending this year's Chicago-area Shiba-Ween event!

Attendee Information:

Name:      
Address:      
                    City:     State:     Zip: 
 Phone:     
                E-mail: 

*A Shiba-Ween ticket is $8 per adult and $5 per child under 12 years of age and INCLUDES LUNCH!

Number of Adult attendees: 

Number of Child attendees: 

Name of ALL attendees in party: (Name tags will be provided for all attending, first/last for adults and first only for kids)

First Name:     Last Name: 

First Name:     Last Name: 

First Name:     Last Name: 

First Name:     Last Name: 

First Name:     Last Name: 

Dog Information:

Dog Name:    Dog Breed:   

MSIR Alum?: NoYes        MSIR Foster?: NoYes
 

Dog Name:    Dog Breed:   

MSIR Alum?: NoYes        MSIR Foster?: NoYes
 

Dog Name:    Dog Breed:   

MSIR Alum?: NoYes        MSIR Foster?: NoYes


Dog Name:    Dog Breed:   

MSIR Alum?: NoYes        MSIR Foster?: NoYes

# of extra bandanas needed at $3.00 each. One dog bandana will be provided per family with admission ticket.   

How many door prize tickets would you like to purchase?   

# of tickets (if selected other)

How many game tickets would you like to purchase?   

# of tickets (if selected other)

Volunteer Opportunities:  Select all that you would consider.     

Set up

Clean up

Check In

Kids' Games

Dog Games

Door Prize Coordination

Costume Contest Judging

Lunch Set Up / Clean Up

Donations:
People Dessert   

Doggie Dessert   

Door Prize

Not Bringing Dessert

New Game: Shiba Costume Scramble

Please tell us the names of your Shibas and what costumes they will be wearing to Shiba-Ween.
Additional information/comments:

(You will get the paypal payment screen after submitting the information form)