Equine Distance Riding Association
Logbook Registration Form
Registered Name
*
If not registered, name you use.
Nickname
Horse Information
*
Gelding.
Mare.
Stallion
Sex
Breed
Color
Registration #
Date of Birth
*
-
Month
-
Day
Year
Date
Name
First Name
Last Name
EDRA Membership #
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Historical Miles
*
Miles ridden in any distance organization.
Face Markings
*
Star
Strip
Snip
Blaze
None
Other
Right Front White Leg Markings
*
Coronet
Pastern
Sock
Stocking
None
Left Front White Leg Markings
*
Coronet
Pastern
Sock
Stocking
None
Right Hind White Leg Markings
*
Coronet
Pastern
Sock
Stocking
None
Left Hind White Leg Markings
*
Coronet
Pastern
Sock
Stocking
None
Other identifying marks
Side untacked picture
Browse Files
Cancel
of
Location of brand
Picture or brand
Browse Files
Cancel
of
Submit
Should be Empty: