ADK Blue Challenge - Ultra Form
To complete the challenge, you need to hike all 10 mountains on or after January 1, 2015. There are now four patches ($6 each). The respective patch will be shipped to you after accomplishing the specific challenge, submitting this form, and providing payment.

Challenge - all 10 hikes completed
Pup - dogs who complete challenge (Catamount hike not required)
Winter - complete each hike in any winter (12/21 - 3/21)
Ultra - All 10 hikes must be completed within a single 48-hour period

Please note: Dates are required for credit of all patches, but time is only required to earn the Ultra patch. If you are not requesting an Ultra patch, please use the Standard Form as it does not require entering Time.
Name
Your answer
Dog(s) Name if Applicable
There are separate rosters on our Facebook page and website, one for people and one for Dogs.
Your answer
Address
We will ship the patch(es) to this address.
Your answer
Email (optional)
We do not share emails or do sales emails. This is strictly used for the Challenge and patches questions.
Your answer
Number of Patches Requested:
Finishers Patch
All 10 hikes completed on or after January 1, 2015
Captionless Image
Your answer
Pup Patch
Dogs completed hikes on or after January 1, 2015 (Catamount hike not required).
Captionless Image
Your answer
Winter Patch
Completed each hike in any winter (12/21 - 3/21) on or after January 1, 2015.
Captionless Image
Your answer
Ultra Patch
All 10 hikes completed within a single 48-hour period on or after January 1, 2015.
Captionless Image
Your answer
Please feel free to send or post any photos we may share via our Facebook Page and website!
Dates Hiked:
Please note: Dates are required for credit of all patches, but time is only required to earn the Ultra patch. If you are not requesting an Ultra patch, please use the Standard Form as it does not require entering Time.
Ampersand Mountain *
MM
/
DD
/
YYYY
Time
:
Azure Mountain *
MM
/
DD
/
YYYY
Time
:
Catamount Mountain
Not required by dogs to earn the Pup patch.
MM
/
DD
/
YYYY
Time
:
Hurricane Mountain *
MM
/
DD
/
YYYY
Time
:
Jay Mountain *
MM
/
DD
/
YYYY
Time
:
Loon Lake Mountain *
MM
/
DD
/
YYYY
Time
:
Lyon Mountain *
MM
/
DD
/
YYYY
Time
:
Poke-O-Moonshine Mountain *
Observers or Rangers Trails
MM
/
DD
/
YYYY
Time
:
Silver Lake Mountain *
MM
/
DD
/
YYYY
Time
:
St. Regis Mountain *
MM
/
DD
/
YYYY
Time
:
Which was your favorite hike?
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