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Glenmore Hunt Murder Mystery Ride Registration Form
PLEASE NOTE: ONLY 1 RIDER PER ENTRY... Before beginning, have the horse coggins #, date, state drawn information handy! It will save you time at check-in.
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* Indicates required question
Email
*
Your email
Please list all members of your team including yourself (every team member MUST fill out a separate registration)
*
Your answer
Team Name
Your answer
Who is the team Captain?
Your answer
Waiver acceptance and signature:
*
To view the waiver please click the link on the main information document
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the waiver.
Required
Electronic Signature
*
Please type your first and last name
Your answer
Electronic Signature for a minor
Please type your first and last name of parent or legal guardian
Your answer
First Name of Rider
*
Your answer
Last Name of Rider
*
Your answer
Mailing address - Street
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Emergency Contact Information
*
Please list a person of contact name
Your answer
Emergency Contact
*
phone number
Your answer
Emergency Contact
*
relationship
Your answer
Emergency
Please list any known medical conditions that may be pertinent in case of an accident
Your answer
How did you hear about our Murder Mystery Ride?
Please check all that apply
Glenmore hunt member
Friend/Family
Email notice
Facebook (if in a group please list name of group under other)
Google group or other social media
Flier
Newspaper
Other:
Would you like to be added to our email list and receive notifications of other available events?
Please note that we DO NOT share your information with ANYONE and the notices will be limited to Glenmore Hunt activities and events.
yes
no
Clear selection
Free T-shirt for Early Bird Registration
Participants who register by the Early Bird date of June 6th receive a Glenmore Hunt t-shirt free. Please indicate your t-shirt size below.
What size T-shirt
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Clear selection
Horse Information
Name of horse
*
Your answer
Coggins Accession #
*
(please bring a copy to the event if not sent in at the time of registration)
Your answer
Coggins
*
Date drawn
Your answer
Coggins
*
State
Your answer
Horse owner
same as rider
Owner
Name
Your answer
Address
Your answer
phone number
Your answer
Owner
email
Your answer
Method of Payment
Please select your method of payment below. Note the credit card link is on our website. For questions regarding payment please email the event coordinator Joe Manning -
MANNINJP@jmu.edu
What method of payment will you be using?
Credit Card - use link on our website
Pay Pal - use link on our website
Bringing payment the day of the event
Robin with FREE Lifetime Entry!
Clear selection
If paying with credit card or PayPal, what is name on the card if different that entry name? (this is so we can match the entry with the payment)
Your answer
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