NHC’s November Poker Ride at Rocky Woods Entry Form (11/9/25)

Email

Primary Rider

First Name

Last Name

Phone

(###)

###

####

Phone accepts texts

Yes

No

Primary Rider Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Rider Horse Name

Emergency Contact Name (contact for all group members)

Emergency Contact Phone

Preferred Start Time

10 AM - 11 AM

11 AM- 12 PM

Alternate Start Time if preferred not available

10 AM - 11 AM

11 AM - 12 PM

Rider #2 Name & Horse Name (if applicable)

Rider #3 Name & Horse Name (if applicable)

Rider #4 Name & Horse Name (if applicable)

Rider #5 Name & Horse Name (if applicable)