ride for the colors Ride for the Colors Registration Form ride for the colors

Name:

Street:

City:

State:

Zip:

Phone:

Cell:

Email:

 

Arrival Date & Time:

Departure Date & Time:

Ride for the Colors Donation (at least $100 for the 3 day event):

 

$100 for 3 day event =

$
 
What cancer color/s would you like to represent on this trail ride?

hot pink (all cancers), teal (ovarian), teal & white (cervical), purple (pancreatic),

grey (brain), aqua (prostate), beige (lung), black (melanoma),

royal blue (colon), orange (leukemia), light green (lymphoma), peach (uterine),

kelly green (kidney), yellow (sarcoma), tan (childhood), light pink (breast)

 

Corral:

 

(#) Horses x (#) nights x $7 per night =

$
(#) Horses x (#) nights x $12 per night for covered corral =

$
 

Camping:

 

Water & Elec. (30 amp) $25/night x (#) nights =

$
Full Hook-up (30 amp) $30/night x (#) nights =$
Water & Elec. (50 amp) $30/night x (#) nights =$
Full Hook-up (50 amp) $35/night x (#) nights =

$
 

Lodging: (Must reserve in advance. Please call 803-267-3882)

 

Rooms $75 per night x (#) nights =

$

Total

$

[mandatory check box] Liability Waiver signed

 

[mandatory check box] I have read and agree to abide by Trail Rules & Regulations

 


Please be prepared to pay at check-in.

Broxton Bridge Plantation1685 Broxton Bridge Rd. • Ehrhardt, SC 29081
800-437-HUNT • 803-267-3882

Jerry, cell: 803-300-0091 • FAX: 803-267-3241