AGHFoundation

CAMPAIGN LOGO OR IMAGE

You are welcome to bring your well-behaved leashed dog(s) of all ages for a swim in the outdoor pool or bay at a fundraiser in support of Atlantic General Hospital's Penguin Swim.

The registration fee is $20 per dog. One dog per person (each dog must be accompanied by a separate dog handler age 18 or older). Additional human family members are welcome to attend at no additional cost.

Bring your dog(s) dressed up for the Costume Contest! Photos will be taken upon arrival with voting taking place at the end of the event. You do not need to stay for the duration of the event to win. Winners will be contacted if not present.

Each dog will receive a free gift and each dog handler will receive a complimentary drink ticket for a non-alcoholic or alcoholic beverage (21+ for alcohol with valid ID).

Yappy Hour Drinks & Food will be available for purchase at the poolside bar.

Please bring proper cleaning materials as owners are responsible for clean-up of your dog’s accidents.

The event will be held rain or shine with the exception of cancellation due to lightning if applicable. In the event of cancellation, we thank you for your donation!

Participants may also register at the event.

Small dogs (under 20 pounds) are encouraged to attend during the first half hour from 1:30pm-2:00pm. Dogs of all sizes are welcome to attend from 2:00pm-4:00pm.

We would like to attend during:

Number of Dogs

Dog #1 Name

Dog #1 Breed

Name of Adult for Dog #1

Dog #2 Name

Dog #2 Breed

Name of Adult for Dog #2

I have read and agreed to the terms and conditions.

First Name

Last Name

Mobile Number

Address

City

State

Billing Zip

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV

I would like to cover the payment processing fee.

Donor hereby approves the payment of the charitable donation and/or purchase to Atlantic General Hospital Foundation and in the amount set forth herein.

Questions? Contact Laura Powell at (410) 641-9671 or [email protected].

All proceeds benefit Atlantic General Hospital Foundation. Atlantic General Hospital is a 501(c)(3) nonprofit organization and your contribution is tax deductible to the fullest extent of the law. A copy of the current financial statement of Atlantic General Hospital is available by writing 9733 Healthway Drive, Berlin, MD 21811 or by calling 410-641-9671. Documents and information submitted under the Maryland Solicitations Act are also available for the cost of postage and copies, from the Maryland Secretary of State, State House, Annapolis, MD 21401. Phone 410-974-5534.