Rider Name(Required)
First
Last
Address(Required)
Does the rider have a current AERC Membership?(Required) A rider who does not have a current AERC who participates in an LD or Endurance event will have a $20 per day surcharge. This is for insurance and drug testing; fee will be collected at the ride.
Is the rider a SR or JR?(Required) Note: Junior status is either under 18 or under 16 as of Dec 1, 2024 depending on event.
Horse Information Number of Horses?(Required) How many different horses will you participate on? If more than 3, just put the information in the comments section and email the coggins certificate to Barb Kurti.
Horse #1 Information Horse 1 Event Selection(Required) Which options apply to this horse?
Horse 1 Distance Options(Required) This is to indicate the event and distance you are likely going to select for Horse #1 in the Pick 3, 5, or 7 options. You may adjust as needed at the ride. Select all options that might apply.
Horse #2 Information Horse 2 Event Selection(Required) Which options apply to this horse?
Horse 2 Distance Options(Required) This is to indicate the event and distance you are likely going to select for Horse #2 in the Pick 3, 5, or 7 options. You may adjust as needed at the ride. Select all options that might apply.
Horse #3 Information Horse 3 Event Selection(Required) Which options apply to this horse?
Horse 3 Distance Options(Required) This is to indicate the event and distance you are likely going to select for Horse #2 in the Pick 3, 5, or 7 options. You may adjust as needed at the ride. Select all options that might apply.
Agreemements Refund Policy(Required) Refunds: 50% of entry before July 13; No refunds after July 13th, 2025
I HAVE READ AND UNDERSTAND THE REFUND POLICY
Release of Liability(Required) I wish to participate in the above-named ride, attending the event premises with my horse(s) and possibly with family or other support. All references herein to “me”, “I” or “my” or such other designations shall include my family and support group, together with my equine(s) or other pets or animals. I acknowledge I am speaking for them in making my entry and am responsible for their behavior and safety. In participating, I fully understand and recognize the inherent risks and dangers involved (whether directly explained but certainly as reasonably foreseeable or as should have been reasonably foreseeable to a prepared participant), as well as the fact that significant unanticipated, uncontrollable and unexpected risks may arise during the ride. I understand competitive and endurance riding involves being in remote areas for extended periods of time, far from communications, transportation, and medical facilities. I recognize other persons may be in the vicinity of the event and whether or not they are participating directly or merely bystanders, I accept that I personally owe them a duty of reasonable care to prevent damage or injury to them, their families or property arising from my participation or the care, custody or control of my equine(s) or other animals or family or friends. I recognize ride management cannot eliminate or control all potential hazards to me or my horse or act to guarantee our safety. I agree to abide by the rules of the ride and UMECRA, which incorporates the rules at AERC for endurance riding, and am familiar with those rules.
I HAVE READ AND UNDERSTAND THIS RELEASE. IF I AM A MINOR (UNDER 18) I UNDERSTAND I MAY NOT COMPETE WITHOUT THE LEGAL PERMISSION OF MY PARENT/LEGAL GUARDIAN.
Additional Information Please provide any additional information regarding your ride selections.
Payment Payment Method(Required) To avoid a late fee, any payments by check must be received by Barb no later than July 1. Please allow at least 1 week for USPS.
Electronic Payment Agreement(Required) I agree to pay the non-refundable convenience fee to use this online service.
Please make your check payable to Barb Kurti and mail to:
You will need to complete the paypal payment to Barb after submitting the form.
If you are not seeing a "Submit" button, please scroll up and verify you have completed every required question.
