Feliz Cumpleanos 2024

Feliz Cumpleanos Entry Form: June 29-30, 2024
Rider name
AERC
Weight Division
Age
Email
example@example.com
Phone
Format: (000) 000-0000.
Address
City
State
Zip
Intended distances (pick 50, LD or intro): Saturday
Saturday
Sunday
Horse 1
Age
Sex
AERC
If rider not owner: Owner's name
Owners name
Owners AERC
Owners address
Horse 2
Age
Sex
AERC
If rider not owner: Owner's name
Owners AERC
Owners address
IHAVE READ THE RULES, CONDITIONS AND REGULATIONS OF THIS RIDE AND OF THE AERC AND WILL ABIDE BY THEM.
Riders signature
Date

MonthDayYear
Date
Junior riders (under 16 years as of the first day of the ride season, Dec. 1, 2023) entered in the ride will be accepted and allowed to ride only if accompanied by an adult rider (21 or over Juniors will not be allowed to start or continue on from any point without an adult sponsor.

JUNIIOR RIDERS MUST WEAR PROTECTIVE HELMETS. PARENT/GUARDIAN AGREES ON BEHALF OF JUNIOR TO ALL OF ABOVE AND GIVES PERMISSION FOR EMERGENCY MEDICAL TREATMENT FOR JUNIOR.
ParentGuardian signature
Date

MonthDayYear
Date
Junior Date of Birth

MonthDayYear
Date
Sponsor name
Daily entry fee is: $135 for 50 or LD. $100 for intro. Add $20 daily if not AERC member.
My Products
prevnext( X )
50 Mile Ride - Saturday
$135.00



30 Mile Ride - Saturday
$135.00



Intro Ride - Saturday
$100.00



AERC Non-member Fee - Saturday
$20.00



50 Mile Ride - Sunday
$135.00



30 Mile Ride - Sunday
$135.00



Intro Ride - Sunday
$100.00



AERC Non-Member Fee Sunday
$20.00



Total

$0.00
Total payment submitted:

Hit the submit button and pay by PayPal to jhparke@icloud.com or mail entry form, both signed release forms and check payable to

John Parke

2640 Krill Rd.

Solvang CA 93463.

Please submit entry form, both release forms and payment no later than June 22,2024.

YOU AND ANYONE COMING WITH YOU MUST SIGN AND INCLUDE THE RELEASE FORMS BOTH FOR THE RIDE AND THE RANCHO SAN FERNANDO REY.
Should be Empty: