Free for Pre registered and Non-registered Walkers
Non registered walkers welcomed, tote bags available while supplies last.
Owner Name_________________________ Phone Number_______________________
Address______________________________
City__________________ BAC Client__________________
State_______ Zip___________
Pet Name__________________________ Attended walk before?__________________
Breed________________________Color________________
Birth Date________________________
Sex: Male Female Neutered Spayed
Microchip #________________________
Belleville Animal Clinic
1600 N. Belt East
Belleville, IL 62221
233-5720
233-8945 fax
Registration can be emailed to:
Website: BANIMALCLINIC.COM
SWIC Dr. Amlung Nature Trail
2500 Carlyle Ave. Belleville
Weather permitting rain date will be announced at a later date.