Participant registration

Please complete the form below

I hereby pledge to participate in an attempt to set the world record for 'Most people brushing dogs' teeth at one time'. I agree to bring my dog to The Plaza Down Under at Jupiter Riverwalk in Jupiter, FL on Sunday, January 28, 2017 at 1:00 pm EST and brush his/her teeth simultaneously with all other participants.

Each dog must have his/her own handler to participate in the event. All supplies and instructions will be provided by Scenthound.

Your Name *
Your Name
Phone Number *
Phone Number
Must be six months or older to participate
Dog's Gender *
Dog's Weight *