Millstone Township Trail Event Millstone River Inaugural Ride SUNDAY, SEPTEMBER 27, 2009, Rain or Shine Intersection of Woodville Rd. & Baird Rd., Millstone Twp. NJ
· Teams may have 2 or 3 riders · Starting Times : 5 Minute intervals beginning from 8 AM to 12 noon · Times will be assigned on a first come, first serve basis & limited to 50 teams · Registration Deadline is September 10, 2009 · No times will be held without full payment, a completed registration form, proof of a current (within 24 Months) negative coggins, a signed release form for all team members (a parent or legal guardian must sign for all riders under 18 years of age). COST Riders . (____@ $30.00 each, includes a box lunch) . . . . . . . . . . $_________
REGISTRATION Desired Start Time: (Please indicate 1st, 2nd & 3rd Choice) ________ 8:00 – 9:15 _________ 9:20 – 10:30 _________ 10:35 – 12:00 Please enclose a current coggins for each horse and a signed release for each rider A post card or email confirming the start time will be sent to the first team member listed below
Team Information
(1) Name ___________________________________ Phone:_________________ Amount $______
Address: ___________________________________________________________
Email: (secure site) ____________________________________________________
(2) Name ___________________________________Phone: _________________ Amount $_______
Address: ___________________________________________________________
Email (secure site) _____________________________________________________
(3) Name ___________________________________Phone:__________________Amount $______
Address: ____________________________________________________________
Email (secure site) ______________________________________________________ Additional Lunches _____ @ $10.00 Each) = $_______
I would like to become a Millstone Trailblazer (Annual Membership $25.00) . . . . . . . . . . . . $_______
I cannot attend, but would like to donate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_______
* Total Enclosed: $_______ *$20.00 of your registration fee is tax deductable. A receipt will be provided with your start time. Please make checks payable to Millstone Trailblazers Mail to: Millstone Trailblazers, 145 Baird Rd., Millstone Township, NJ 08535 Contact: 732-446-6863 Cancellation Information Due to SEVERE CONDITIONS will be posted on our website at www.millstonetrailblazers.org
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