Name
*
First Name
Last Name
AERC#
SEDRA#
Name (2nd person for R&T)
First Name
Last Name
AERC#
SEDRA#
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Junior Date of Birth
-
Month
-
Day
Year
Date
Junior Sponsor
Full Name
AERC#
Equine Day 1
Name
AERC#
Breed
Age
Coggins Number / Date
Gender:
Gelding
Mare
Stallion
Equine Day 2
Name
AERC#
Breed
Age
Coggins Number / Date
Gender:
Gelding
Mare
Stallion
Date of Arrival
*
-
Month
-
Day
Year
Date
Will you be trailering in with somebody else?
*
Yes
No
If so, who?
Entry Fees
prev
next
( X )
FRI - 2 Day 100
$
200.00
FRI - 25 mile Ride
$
100.00
FRI - 25 mile R&T
$
80.00
FRI - 15 mile R&T
$
60.00
FRI - 10 mile R&T
$
50.00
FRI - 18 + 7 (25) Equathon
$
80.00
FRI - 10 + 7 (17) Equathon
$
60.00
FRI - 10 mile Intro
$
55.00
SAT - 50 mile Ride
$
120.00
SAT - 25 mile Ride
$
100.00
Camping Fee Per Vehicle
$
10.00
1 Night
2 Nights
3 Nights
Stall
BARN IS FULL THURSDAY + FRIDAY NIGHT!
$
10.00
1 Day + Night
2 Days + Nights
3 Days + Nights
1 Day + Night / 2 Horses
2 Days+ Nights / 2 Horses
3 Days + Nights / 2 Horses
AERC Non Member Fee
Does not apply to R&T
$
15.00
Pay Cash Onsite Fee
$
5.00
Late Fee
$
15.00
Junior Discount
Does not apply to R&T
$
-20.00
Day Rider Discount
Does not apply to R&T or Juniors
$
-10.00
Trailerpooling Discount
$
-5.00
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform