15 Km Spring Trail Ride "On-Line" Registration Form
Near Lanark Village, Saturday, June 11th, 2011

Beautiful forest trails near the village of Lanark - no riding on the road!
SATURDAY JUNE 11th 2011
To benefit the Lanark County Therapeutic Riding Program
( For more information, call:
1-800-667-2617 -or- 257-7121 ext. #236 -or- Jo Ann Donaldson: 256-3477 )
>>>>>>>>> CLICK HERE for Directions to Ride Location

9:00 - 11:00 am: Riders for the 15 km trail will
leave in small groups throughout the morning.

NAME, ADDRESS, TELEPHONE # OF RIDERS:

1st Rider Name:
Address:
City:      Postal Code:
E-Mail Address:      Tel #:



IF MORE THAN ONE RIDER PARTICIPATING, PLEASE FILL IN BELOW;
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Rider #2 Name:
Address:
City:      Postal Code:
E-Mail Address:      Tel #:




3d Rider Name:
Address:
City:      Postal Code:
E-Mail Address:      Tel #:



Please use this online form to register before May 30th 2011 and bring your entry fee (minimum $10.00 for hikers & runners, $30 in pledges for riders) with you, along with 1 copy of the Waiver Form per rider, on June 11th.
-or-
You may PRINT OUT the Waiver Form, then Mail cheques & Waiver Form
to:
Susan Cressy, 30 Bennett Street, Carleton Place, ON, K7C-4J9

( please make cheques payable to: L.C.T.R.P. )

Please register before the ride so we know how much food to have on hand for you.



form revised May 25th 2011