Hoofin’ It for the Paws Registration Form

Waiver of liability: By registering and participating in the Hoofin' It For the Paws Ride-A-Thon 2005, you are agreeing to indemnify and hold harmless the Animal Placement Bureau, Pound Buddies, Mid West Boston Terrier Rescue, The Voice of Animals, the Black Hills Wild Horse Sanctuary organizations, their directors, volunteers, membership, all sponsors and the National Forest Service.

Reminder: All horses participating must have a valid Coggins Certificate, please bring it with you.

Registration Information – Please complete one registration form for each individual

Each participant raising $50 or more will receive one free tee shirt. $25 of that is required at the time of registration. Please fill out this section and then indicate your method of payment below and make your payment.

First Name:

Last Name:

Address:

City, State:

Zip Code:

Day Phone:

Evening Phone:

What size tee shirt do you need

Will you be riding? Yes No

If riding as a member of a group, name of your group:

Payment Method: Please check the method you will use.

Important:   If the name on your credit or debit card or echeck bank account is different than the name on your registration form, please be sure to note the name which appears on your registration form on your payment.

If you make one payment to cover more than one registration form, please note all of the names of the individuals your payment covers, on your payment.

Online: Use the paypal link at http://www.schnauzerama.org/rideathon2.htm  In the comment section of the Paypal form, please put “Ride-A-Thon” and if paying for more than one registration, note the names of each person you are paying for.

By Mail: Make your check or money order out to MWBTR, put “Ride-A-Thon” in the memo field and send it to

Ride-A-Thon, c/o MWBTR, PO Box 297, Kent City, Mi 49330  If one check pays for more than one individual, please include the names of all the people you’re paying for.

By Phone: To pay by debit or credit card, Call Renee at  616-678-4111

 6am to 10pm M-F, 8am to 10pm Saturdays or 11am to 9pm on Sundays