BES 2024 Fall JPR
Sunday, September 29, 2024
Rider Name
*
First Name
Last Name
Rider Age
*
As of ride date. Rider's age is used for age division placings and ribbons.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Horse's Name
*
Novice Horse? (Participated in 3 or fewer JPRs)
*
Yes - Novice Horse
No - Not Novice Horse
Novice Rider? (Participated in 3 or fewer JPRs)
*
Yes - Novice Rider
No - Not Novice Rider
I wish to ride with the following people:
Preferred Start Time: (Not guaranteed; expect ride times between 9AM and 11AM)
*
Early
Middle
Later
Anytime is fine
Ribbons
*
Yes - Please mail me ribbons for any placings
No - Please donate the cost of my ribbons and postage to BES for trail maintenance
Please upload your valid Coggins here:
*
Browse Files
Coggins must be current - blood drawn within 12 months of ride date.
Cancel
of
Signature (Riders under 18 must have signature of parent or legal guardian)
*
Printed Name of Signer (Parent or Guardian for riders under 18)
*
Registration fees, select all that apply:
*
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BES Member Registration
Entry fees are non-refundable and will be donated for park maintenance unless the ride is canceled.
$
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non-Member Registration
Entry fees are non-refundable and will be donated for park maintenance unless the ride is canceled.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Junior (17 & under) Registration
Entry fees are non-refundable and will be donated for park maintenance unless the ride is canceled.
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Lunch
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Turkey
Ham
Veggie
Donations (General & Coverage of Ribbon Mailing)
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Lunches
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Turkey
Ham
Veggie
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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