Fitzgerald Glades 16/17th January 2021
Waikato Endurance Club
Please note there will be a $15 casual membership fee for riders who are not ESNZ members.
Name
First Name
Last Name
ESNZ membership type
Please Select
Full Member
Introductory Member
Casual day membership($15)
ESNZ membership #
Junior(under 21) or Senior
Junior
Senior
Phone Number
-
Area Code
Phone Number
Address
Email
example@example.com
Emergency Contact( Name and Number)
Horses Name
Horses Age and gender(M, G, S)
Horses ESNZ # (if applicable)
Ride Category
Novice
Intermediate
Open
Class
Please Select
Sat:80km Endurance
Sat:40km Endurance
Sat:20km Endurance
Sat:11km Endurance
Sat:40km CTR
Sat:20km CTR
Sun:80km Endurance
Sun:60km Endurance
Sun:40km Endurance
Sun:20km Endurance
Extra Information
For CTR riders who would like to put forward a ride buddy enter their name in here. They will still need to complete their own entry form. Ride out times will be given on the day.
Tick Below
I agree
Submit
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