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Welcome to the Pikeville City, KY, Action Line
Today is Monday, June 8, 2026. Level One Renaissance City.
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Conference Form Registration

Purpose. REGISTRATION FORM: HATFIELD & MCCOY MINE RESCUE event will be held on July 11th through July 14th, 2016. Registration Contact Person: Andy Linton, Executive Director of Tourism and Events @ 606-437-5119 or email Mr. Linton @ andy.linton@pikevilleky.gov for more information.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
* Daytime Phone: ()  –
* Address:
* City:
* State:
* ZIP:

* I HAVE READ AND FULLY UNDERSTAND THE RULES FOR THE EVENT.

 
* Team Name:
 
* Which Day is the team competing?

 
* COMBINATION TEAM:
3
 
* TEAM CAPTAIN:
 
BRIEFING OFFICER?
 
* MEMBERS?
 
ALTERNATES:
 
BENCH CONTESTANTS:
 
* APPARATUS TYPE?
 
* TESTER:
3
 
* PRE-SHIFT: CONSTESTANTS?
 
CONTESTANTS?
 
* RADIO FREQUENCY: LIST BELOW:
 
* FIRST AID: LIST THE FOLLOWING? CAPTAIN: MEMBER: PATIENT:
 
* VISIO COMMAND CENTER:
3
 
Fees for Event are: Mine Rescue: One Day Only Fee is: $250.00 and Two Day Fee is: $350.00 each Team Pre Shift: $ 50.00 each Person. Bench: $50.00 per person. $50 each additional Person: First Aide: $50.00 each person. Mail Checks to: City of Pikeville, Attn: Tonya/Finance Department, 243 Main Street, Pikeville, KY 41501.
 
MSHA Contact: Barbara Soard Email: soard.barbara@dol.gov 276-679-0230-Telephone
1
 
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Notes:

This form is to pre-register, *ALSO SEND A COPY OF THE REGISTRATION FORM TO: clay.robert@dol.gov or for questions on the event: MSHA District 5 276-679-0230

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