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609-560-2391
Southern Pines, NC
info@moorecountyhounds.com
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Hunter Pace Entry Form
2022 Hunter Pace Registration
Type of Entry
(Required)
Patron $275 (includes up to 3 riders)
Sponsor $175 (includes up to 2 riders)
Regular Entries ($75/adult $40/junior)
Number of Patron Riders Registering on this Form
One Rider
Two Riders
Three Riders
Number of Sponsor Riders Registering on this Form
One Rider
Two Riders
Number of Riders Registering on this Form
One Rider
Two Riders
Three Riders
Start Time Requested
Division
(Required)
Coyote Run
Fox Chase
Hilltopper
Trail Blazer
Course
(Required)
Long
Short (Trail Blazers can only choose short)
Team Name
(Required)
Your Information
Name
First
Last
Email
Phone
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Horse 1 Name
Rider 1 Adult or Child?
No Riders
Adult Rider Entry
Junior Rider (under 18) Entry
Coggins 1
Max. file size: 32 MB.
Waiver 1
Max. file size: 32 MB.
DOWNLOAD WAIVER
Rider 2 Information
Rider 2 Information
Rider 2 Name
(Required)
First
Last
Rider 2 Phone
Rider 2 Email
Horse 2 Name
Rider 2 Adult or Child?
Adult Rider Entry
Junior Rider (under 18) Entry
Coggins 2
Max. file size: 32 MB.
Waiver 2
Max. file size: 32 MB.
DOWNLOAD WAIVER
Rider 3 Information
Rider 3 Information
Rider 3 Name
First
Last
Rider 3 Phone
Rider 3 Email
Horse 3 Name
Rider 3 Adult or Child?
Adult Rider Entry
Junior Rider (under 18) Entry
Coggins 3
Max. file size: 32 MB.
Waiver 3
Max. file size: 32 MB.
DOWNLOAD WAIVER
Payment Section
Notes or Comments
Please add any information we might need to know below.
Notes or Comments
Total
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