Owyhee High Country Registration Form

2005 Registration Form
3 Days: September 3, 4 & 5

Mail or fax (209-755-8107) this form with payment to:
Steph Teeter
15401 Bates Creek Rd
Oreana, ID 83650

*Pre-registration Discount. All cancellations will be refunded in full.
Gourmet Dinner is included with all LD and Endurance ride entries (Available to non-riders for $12.00)

Rider Name___________________________________ AERC#_____ PNER#_____

Division: ___Feather ___Light ___Middle ___Heavy ____Junior

Street:____________________________ State:________ Zipcode:_______

Email: ________________________________

Horse #1:______________________________ AERC#_______ Age:_____

Horse #2:______________________________ AERC#_______ Age:_____

Horse Owner & Address:__________________________________________

Junior Sponsor: _____________________ Signature:___________________

As a participant in the Owyhee High Country Ride, I agree to abide by the rules of the AERC. I understand that endurance riding involves being in remote areas for extended periods of time, far from communications, transportation, and medical facilities; that these areas have many natural and man-made hazards, which ride management cannot anticipate, identify, modify, or eliminate; that horses can be excitable, difficult to control, and unpredictable; and that accidents can happen to anyone at any time. I agree to take full responsibility for myself and the animal I am riding. I will hold the ride management, all ride personnel, and all property owners whose land the ride crosses, blameless for any accident, injury, or loss that might occur due to my participation in Owyhee High Country Ride and free from all liability for such injury or loss.
I have read and understand this liability release.
Rider's Signature: _________________________________ Date _________

Parent/Guardian (junior):_____________________________ Date_________

Day 1 50 Miles	Pre-Register $80		After Aug 28 $85		Extra Dinner $12 each	Corral $10	Daily Total
	$		$		$	$	$
Day 1 30 Miles	Pre-Register $70		After Aug 28 $75		Extra Dinner $12 each	Corral $10	Daily Total
	$		$		$	$	$
Day 2 55 Miles	Pre-Register $80		After Aug 28 $85		Extra Dinner $12 each	Corral $10	Daily Total
	$		$		$	$	$
Day 2 35 Miles	Pre-Register $70		After Aug 28 $75		Extra Dinner $12 each	Corral $10	Daily Total
	$		$		$	$	$
Day 3 50 Miles	Pre-Register $80		After Aug 28 $85		Extra Dinner $12 each	Corral $10	Daily Total
	$		$		$	$	$
Day 3 30 Miles	Pre-Register $70		After Aug 28 $75		Extra Dinner $12 each	Corral $10	Daily Total
	$		$		$	$	$
TOTAL							$
Payment: $________		Check # _________		Cash _______	Credit Card # ______ ______ ______ ______ ___/___