Form
Cariboo Gold Rush Express Registration Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Home Phone
Please enter a valid phone number.
Mobile Phone
Please enter a valid phone number.
Emergency Contact Name and Number
Please enter a valid phone number.
ERABC Number
HCBC Number [ mandatory for all BC riders]
AERC Rider Number
PNER Rider Number
EC Rider Number
Weight Division, rider weight with tack in lbs
Featherweight (160 or below)
Lightweight (161-185)
Middleweight (186-210)
Heavyweight (211 and above)
Junior/Youth under 18 as of Jan 1/24
-
Month
-
Day
Year
Date
Less than 75 miles/120 kms of competition
yes
no
Day 1 Jun 29/24
25 Mile
50 Mile
Day 1 Horse Name
Day 1 Horse AERC number
Day 1 Horse PNER number
Day 1 Horse EC number
Day 2 Jun 30/24
Fun Ride
25 Mile
50 Mile
Horse Name
Horse AERC Number
Horse PNER Number
Horse EC Number
Payment
50 Mile Day 1 $125 Adults only
25 Mile Day 1 $125 Adults only
non AERC member Day 1 $15 Adults and Juniors
non ERABC member Day 1 $15 Adults and Juniors
50 Mile Day 2 $125 Adults only
25 Mile Day 2 $125 Adults only
non AERC member Day 2 $15 [ including Adults and Juniors excluding Fun Riders]
non ERABC member Day2 $15 [ including Adults and Juniors excluding Fun Riders]
camping Jun 27/24 $20 check once per rig
camping Jun 28/24 $20 check once per rig
camping Jun 29/24 $20 check once per rig
camping Jun 30/24 $20 check once per rig
Fun/Introductory ride $40 including Juniors
Late Fee after Jun 19 $25 [excluding Fun Riders]
Total Payment Submitted
Method of Payment
ETransfer erabcbiz@gmail.com (please write CGRE in the comments)
Cheque made out to ERABC mail to Kari Bishop 4129 Shuswap Road, Kamloops V2H1S8 (please write CGRE in the memo line)
Submit
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