Entry Form for the
Hunter Pace Championship Series to Benefit the Tioughnioga
Ruritan
Please check Date and Pace distance to be ridden
All Entry Fees are
Per Rider
Pre enter by 7/26/08 or 9/27/08 for a Discount
Saturday August 2, 2008:______ Saturday October 4, 2008:______
1. Masters Pace 10 – 11 miles:________ Pre Entry Fee:$35 / Day of Entry Fee $40
2. Intermediate Pace 5 – 6 miles:______ Pre Entry Fee $35 / Day of Entry Fee $40
3. Field Hunters Pace 15+ miles:_______ Pre Entry Fee $40 / Day of Entry Fee $45
Pre Enter for the Championship Series by 7/26/08 for a bigger discount
1. Masters Pace: $65___ 2. Intermediate Pace: $65___ 3. Field Hunters Pace $70____
Please Print Clearly:
Teams may be composed of 1 or 2 riders
1. Rider’s Name:__________________________________________
Address:_________________________________________________
City, State, Zip:___________________________________________
Phone:_________________________________________________
e-mail:_________________________________________________
2. Rider’s Name:___________________________________________
Address:___________________________________________________
City, State, Zip:_____________________________________________
Phone: ___________________________________________________
e-mail:___________________________________________________
Office use: 1. Coggins/ rabies: _____ 2. Coggins/ rabies______
Total amount paid in Entry Fees:$__________ Ck:____ Cash:____
Team Number Assigned:________ Number of Riders on Team:_____
Please Note:
1. Riders in the Field Hunter Pace must ride both the 5 and 10 miles courses.
2. Please bring your coggins and rabies with you the day of the pace.
3. You must sign a release form before you can ride.
4. No refunds unless the Hunter Pace is cancelled.
5. Make Checks payable to: Tioughnioga Ruritan
6. Returned checks will be charged $30
7. Please mail with payment for the entire team to:
Jill Higgins