Rider

Number
 
Fort Howes Endurance Rides Entry Form

June 7-8, 2003

 

Rider’s Name: ___________________________________________________ Age (if under 18): _____

Junior riders who ride alone must provide letter from AERC stating that you are riding as an adult.

Parent/Guardian of all children under 18 years must sign release on back of entry form.

Address: ______________________________________________________________________

City: _____________________ State: ________ Zip Code: _________ Phone: (       ) __________

Email: _________________________ AERC # _________________ USA-Eq # ______________ AHA # _________________ Weight Division: Junior  Feather  Light  Middle  Heavy (please circle one)

Emergency Contact Name: __________________________________ Phone: (        ) ___________

 

Horse’s Registered Name: __________________________________ Age: ____ Gender: _______

Registration # ____________________ AERC # ____________ Breed: _____________________

Color: ________ Markings: _______________________________ USA-E # _________________

 

Owner’s Name: ________________________________ AERC # ____________ AHA # ________

Address: __________________________________________________ City: ________________ State: _______ Zip Code: ________ Phone: (          ) ____________________

Entry Information--ONE FORM PER DAY

June 7, 2003

25 Mile Limited Distance Open AERC                                                         Junior $30/Senior $40                $ ________

50 Mile Endurance Open AERC                                                                  Junior $53/Senior $70                $ ________

AHA Region 6 Championship (includes AERC entry)                                        Junior $88/Senior $105              $ ________

June 8, 2003

50 Mile Endurance Open AERC                                                                  Junior $53/Senior $70                $ ________

100 Mile Endurance Open AERC                                                                 Junior $105/Senior $140             $ ________

FEI-CEI *** (includes AERC entry)                                                           Junior $215/Senior $250 $ ________

Miscellaneous Fees

Corral Pen (6 Panels-first come, first serve-limited number)                                     $30                               $ ________

Extra Meal Tickets                                                                                             $10/each ______           $ ________

AERC Non-Member Fee (Day Member)                                                                     $10                               $ ________

FEI Riders USA Equestrian Non-Member Fee                                                          $20                               $ ________

 

                                                                                                                                    Total                 $ ________

Please make checks payable to: Fort Howes Endurance Rides, Inc.

RIDERS AND OWNERS MUST SIGN THE RELEASES ON THE BACK OF THE ENTRY FORM

Send Entries to:

Office Use

Rider Credit? _____________ Membership? _______

Rider Debit? ______________

Meals Day _______ Number _________

            Day _______ Number _________

Notes:_________________________________________________________________________________________________________________________
 
Bill and Jan Stevens

H.C. 71 Box 1203

Ashland, Montana 59003-9704

 

For Further Information:

Phone: (406) 784-2469

Fax: (406) 784-2158

E-Mail: forthowes@hotmail.com

Web Site: www.endurance.net/forthowes

 

Please send open entries by May 25, if you can….We will refund if you call and tell us that you can’t make it!

FEI Entries Due by June 1st!