Pup Entry form for Pucks & Pups Calendar

Owner Contact Information

Dog Information

Waiver of Liability & Photo Release

Waiver of Liability

I acknowledge that by entering my dog into the Pucks & Pups Calendar Fundraiser and participating in any associated photography sessions or activities, there may be risks of injury, illness, loss, or damage involving my dog, myself, other participants, or property.

I voluntarily accept these risks and agree to release, indemnify, and save harmless the Town of Pilot Butte, the Pilot Butte Storm, and their respective elected officials, officers, employees, agents, representatives, volunteers, and other participants from and against any claims, proceedings, actions, costs, losses, damages, or injuries arising from my dog's participation in the fundraiser and associated activities, including interactions with other animals or individuals, except to the extent prohibited by law.

I confirm that I am the owner or authorized caretaker of the dog being entered and accept responsibility for my dog's behaviour, supervision, and safety during any associated activities.

Town of Pilot Butte Pet Photography & Image Release Agreement

I hereby grant permission for my dog to be photographed as part of the Town of Pilot Butte's Pucks & Pups Calendar Fundraiser.

I acknowledge and agree that photographs of my dog may be used by the Town of Pilot Butte and the Pilot Butte Storm for the production of the 2027 Pucks & Pups Calendar, as well as for promotional materials, social media, websites, publications, advertising, and other related purposes.

I further acknowledge that the photographs and resulting promotional materials may be published, reproduced, and distributed without additional permission or compensation.

By agreeing, I confirm that I am the owner or authorized caretaker of the dog being photographed and consent to the use of its images as outlined above.