Camp Far West Endurance Ride

Camp Far West Endurance Ride

October 30 & 31 2021
Rider Information

First Name Last Name AERC #
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Saturday Horse Information

Horse Name

Owner Name

AERC # Age

Color, Breed, Gender
Sunday Horse Information

Horse Name

Owner Name

AERC # Age

Color, Breed, Gender
Weight Divison
Junior Rider Sponsor Information

First Name Last Name AERC #
Email
example@example.com
Phone Number
Saturday Ride
Sunday Ride
PayPal is accepted, please send via Friends and Family to avoid the charge to chappellpoco@yahoo.com

You will need to sign the Release of Liability at check in.
Should be Empty: