20th Annual Winery and Halloween Costume Ride

21st Annual Winery and Halloween Costume Ride

Saturday Oct. 29, 2022
*PRE-REGISTRATION IS REQUIRED FOR CAMPING TO GUARANTEE A CAMPING SPOT!

One Primary Person per form with their address. We must have all other riders full names. EVERYONE must sign an Event Liability Release Form which are available to print on our website bchw.org.

Camping must be prepaid to guarantee your camp site.
BACK COUNTRY HORSEMAN OF WASHINGTON
Your Name *

Last Name First Name
Your E-mail
• We ask for your email so we can send information about the ride
Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Emergency Contact

First Name Last Name
Emergency Contact Phone Number

Area Code Phone Number
I am bringing the sleeping unit/Horse trailer for my group! *

YES NO
Total length in feet of trailer and tow vehicle combined? *
If there is another RV or trailer coming in your group they will need to pay for their own site at the same location that you pay for and you MUST arrive together in order to be parked together. We have a limited number of camp spots.

If you have questions please ask them at the bottom of this form.
• List all riders for who are traveling in and staying in your sleeping unit!! If they are not paid on your form they will not be accounted for until we receive payment.
Additional Rider in my group

Last Name First Name
Additional Rider in my group

Last Name First Name
Additional Rider in my group

Last Name First Name
Additional Rider in my group

Last Name First Name
Registration Fees
prev next ( X )
Winery Ride per person by 10/1 $ 35.00
After 10/1 rates go to $45

Quantity

Child under 16 w/paid adult $ 10.00

Quantity

Base Camp Camping per rig/per night (30' x 70') $ 20.00
Check box then select number of nights and which night/s

Number of Nights Which Nights

Offsite Camping (1 1/2 mile away by car and 1 mile away by horse) (Approx. 40' x 100') $ 30.00
Check box then select number of nights and which night/s

Number of Nights Which Nights

Total $ 0.00
EVENT LIABILITY RELEASE!

This release is for the first person on this registration only. Each additional rider will be required to read and sign a form when they pick up thier Rider Packet at the event!
AGREE to the Liability Release *

YES
- There will be a $15 cancellation fee.
- No refunds after Oct. 21, 2021
- Check in times: Friday 1-7 and Saturday 7am - 11:30am
- A Liability Release form must be signed by all riders.
- Costume judging at Base Camp only: Saturday 9am - 11am
- Additional Raffle tickets for the Bucket Auction will be sold at Base Camp only (not online)
- Last rider out at 11:30am Saturday
- Prizes & Wine MUST be claimed by 8:00 pm Saturday
- If you have questions please email Registrastion at bchwwineryride@gmail.com or call 206-498-6952
- Blank Registration forms and Flyers may be printed from bchw.org website. MAIL THOSE COMPLETED FORMS WITH YOUR CHECK POSTMARKED NO LATER THAN 10/1/2022
- Mail to Winery Ride, 11404 210th Ave Ct E, Bonney Lake, WA 98391
Have a question? Type it here
ATTENTION!! Click on "Go to Payment Page" then scroll to the bottom and select "Pay with Debit or Credit Card"

You do not need a PayPal account
How did you hear about our Event? *

From your Chapter? From the BCHW Facebook page From the BCHW Instagram Word of mouth Past Participant Email Other None of the above
Should be Empty:

21st Annual Winery and Halloween Costume Ride