Pups & Tots

Parent/Guardian's Name*
First Last
Phone*
Email*
Which Pups & Tots sessions would you like to register for?*
- December 5, 2019
- January 9, 2020
- February 6, 2020
- March 12, 2020
- April 2, 2020
- May 7, 2020
- June 4, 2020

Child's Name*
Child's Age*
Would you like to register a sibling?*
- Yes
- No
Please list sibling(s): Name and Age*
Please list any special needs, allergies, or behavior issues we should be aware of:
Please list the name of any/all adult(s) that will be attending Pups and Tots with your child.*

Pups and Tots Registration Fee
I, the undersigned parent or guardian of _________________________(“minor”) hereby consent to the minor participating in the Humane Society of Broward County’s (HSBC) Pups & Tots program and all of its activities. The undersigned, for himself or herself and on behalf of said minor, does hereby absolutely and unconditionally release, indemnify, hold harmless and forever discharge HSBC, its officers, directors, employees, successors, assigns, agents and volunteers, and each of them, from and against any and all claims, demands, obligations and liabilities of every nature and kind whatsoever, including, without limitation, negligence, occurring during, directly or indirectly resulting from or arising out of minor’s participation in camp. As to matters covered hereby, this release shall extinguish all claims, demands and rights which the undersigned or the minor (and/or each of their heirs, successors, and assigns) has or may ever have against the parties released hereby, or any of them, for injuries, costs or damages to the minor occurring during, directly or indirectly resulting from or arising out of minor’s participation in HSBC’s Purrs & Tales whether such injuries, costs or damages are known or unknown, foreseen or unforeseen, ascertainable or unascertainable.*
- Yes
The Humane Society of Broward County is allowed to use photos and videos which may feature my child taken during our kids programs in promotional and educational materials such as brochures, flyers, our website, our kids programs page on Facebook, etc.*
- I agree

Billing Address*
Street Address Address Line 2 City State ZIP Code

Please input your credit card's billing address exactly how it is written on your card's statements. Otherwise, the system may reject the transaction. For example, you may need to write Palm Street, instead of Palm St.
Pups and Tots Registration Total
$0.00
Credit Card*

Card Details

Cardholder Name
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Comments
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Pups & Tots Program Details

Pups & Tots Meeting Dates 2019/2020:

Register for Pups & Tots

Pups and Tots: 2019-20

Step 1 of 4

About HSBC

🐾 Obedience Classes
🐾 Walk for the Animals
🐾 Spay/Neuter and Vaccine Clinic
🐾 Careers
🐾 Press Room

Follow Us

Pups & Tots

Pups & Tots Program Details

Pups & Tots Meeting Dates 2019/2020:

Register for Pups & Tots

Pups and Tots: 2019-20

Step 1 of 4

About HSBC

Join in an Upcoming Events

🐾 Obedience Classes 🐾 Walk for the Animals 🐾 Spay/Neuter and Vaccine Clinic 🐾 Careers 🐾 Press Room

Follow Us

🐾 Obedience Classes
🐾 Walk for the Animals
🐾 Spay/Neuter and Vaccine Clinic
🐾 Careers
🐾 Press Room