Rider Information

Distance Select One 50 CEI** 50 CEI YR** 100 CEI*** 100 CEI YR***   Young Riders must be 16 - 21 years of age.

First FEI Ride Select One No Yes

Name

Address

City     State         Zip

Phone       Email 

FEI Rider #         AERC #

AHA #    SEDRA #

Federation        Federation #

Young Rider DOB       Weight Div Feather Light Middle Heavy - Select One -

T-Shirt Size

Horse Information

Horse

Registration #     AERC#   

Horse Passport #     USEF #

AHA #    SEDRA #    FEI #

 Breed    Age   Sex  Gelding Mare Stallion - Select One -

Color    Weight     Height

Owner

Owners AERC #       Owners AHA #

Owners Federation   

Owners Federation #

Owners SEDRA #

Enter any additional information you would like us to know:

When you check in at the ride, you will be asked to sign your release.

Click Submit to continue to the Payment Area