2024 Horseshoe Bend Boogie Ride & Run

Horseshoe Bend Boogie Ride & Run: 50-MILE, 30-MILE, 15 MILE, AND RIDE AND TIE/EQUATHON ENDURANCE RIDES

August 17, 2024
Rider Information
AERC Member:*
AERC #
N/A if non-member
Weight Div
Please Select
ECTRA #
N/A if non-member
SEDRA #
N/A if non-member
RATA #
N/A if non-member
First Name*
Last Name*
Address*
City*
State/Province*
Zip*
Country
Phone #*
E-mail*
Emergency Contact*
Contact Phone
RATA Second Rider Information

Ride and Tie Only
First Name
Last Name
Address
City
State/Province
Zip*
Country
E-mail
example@example.com
Emergency Contact
Contact Phone
Juniors must be accompanied by an adult sponsor (21+)
Jr. Sponsor
DOB of Junior

MonthDayYear
Date
Gender
Date Entered

MonthDayYear
Current Coggins (within 12 months) must be presented to ride management at registration BUT YOU MUST INCLUDE DATE DRAWN and ACCESSION NUMBER when you register online. If necessary, go back and EDIT to include date drawn and accession number.

Division and Horse Information

Saturday, August 17, 2024
Division*
Anything non Ride and Tie classifies as AERC
JR/YR
(21 & Under)
Distance*
Cost of Ride
RATA Distance
RATA Cost of Ride
for Ride and Tie only
Horse AERC#
Horse Name
Horse Birth Year
Coggins Accession #
Date of Coggins

MonthDayYear
Date
Breed
Sex
Owner Name
Extras & Payments
Arrival Date*

MonthDayYear
Departure Date*

MonthDayYear
Camping $10/night
# of nights
Tot Camping
Friday Dinners $15
# of dinners
Tot Dinners
Total AERC Non-Member Fees @ $20.00

Entries postmarked after August 10, 2024 must be accompanied by a $50 late fee. If you need to withdraw and have a veterinarian or medical doctor letter, full refund minus $20. Without one of the above letters, refund is minus $50.
AERC Day Fee
AERC Non-Member
LATE FEE
Total due includes AERC day fee, camping fee & late fees (if applicable) and cost of ride. If you are a Friends of Horseshoe Bend Park member, subtract $10.00 from your total.
Total Due *
Question/Comment
Entries postmarked after August 10, 2024 must be accompanied by a $50 late fee. If you need to withdraw and have a veterinarian or medical doctor letter, full refund minus $20. Without one of the above letters, refund is minus $50.

Payment options:

PayPal to: friendshorseshoebendpark@gmail.com

or use the QR Code below:

Checks for the full amount, payable to: Friends of Horseshoe Bend Park

We cannot accept Canadian checks

Cash, Checks or PayPal accepted at Ride, with late fee

send to:

Meg Sleeper
Godwink Farm
258 Spring Hill Rd
Frenchtown, NJ 08825

Questions?? Call Meg@ 908-500-0091
or
email: megsleeper@icloud.com

WAIVER –ALL RIDERS/PARENTS & OWNERS MUST SIGN

Release of Liability

❖ Please read this release carefully and sign at the bottom.

As a participant in this ride, I agree to abide by the rules of AERC and Friends of Horseshoe Bend Park. I understand that endurance riding involves being in remote areas for extended periods of time, far from communication, transportation, and medical facilities, that these areas have many natural and manmade hazards, which management cannot anticipate, identify, modify, eliminate, or control, that horses can be excitable, difficult to control, and unpredictable, and that accidents can happen to anyone at any time. I agree to take full responsibility for myself and the animal I am riding. I will hold management, all ride personnel, volunteers, members of the Friends of Horseshoe Bend Park, and all property owners over whose land the ride crosses blameless for any accidents, injury, or loss that might occur due to my participation in the ride, and free from all liability for such injury or loss.

I HAVE READ AND UNDERSTOOD THIS LIABILITY RELEASE
I Agree*

true
Rider Full Name*
I Agree (owner)

I Agree
Owner Full Name
I Agree (parent/guardian)

I Agree
Parent/Guardian of Minor Name
FEI Waiver

Payment Information: For Office Use
Total Owed
Total Paid
Method of Payment
Check Date
Check #
Should be Empty:

Horseshoe Bend Boogie Ride & Run: 50-MILE, 30-MILE, 15 MILE, AND RIDE AND TIE/EQUATHON ENDURANCE RIDES

Rider Information

RATA Second Rider Information

Division and Horse Information