Michigan Distance Derby (MDD) Registration Form

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In addition to this form, email 1 photo to: MIDistanceDerby@gmail.com to register.
Team Names, Biographies & Photos will NOT be changed once submitted/published.

First Name *

Last Name *

Mailing Address *

Please include FULL Address (#, Street, City, State & Zip Code)

Age *If you want to be considered for age specific categories/awards *

Email Address *

Horse(s) NAME/AGE/BREEDS *If you want to be considered for specific categories *

TEAM NAME *

Will you be Riding, Driving or BOTH? *

Riding

Driving

Required

Please describe your experience (# of years/disciplines/horsemanship style) *

What kind of GPS Tracking System will you be using? *

Team Biography for Publication on MDD Blog (150 Words or Less) *

Include WHY you joined the Derby & any GOALS you want to share.

I READ, UNDERSTAND & AGREE TO ABIDE BY THE MICHIGAN DISTANCE DERBY RULES

Required

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