Winter Ride in the Pines Entry Form
Winter Ride in the Pines will take place on Dec 14th, 2024. The endurance ride and Ride & Tie will be located at H Cooper Black State Park in Cheraw, SC. Distances will include an intro ride, 25 mile LD, and 50 mile endurance along with Equathon, 12/25/50 mile Ride and Tie. ***In addition, there will be a Clinic on Friday with Tracy Foley, who will be presenting information and techniques to optimize the performance and fitness of your horse. 2 hour clinic plus 30 min session.***
Ride Camp Address: H. Cooper Black, Jr. Memorial Field Trial & Recreation Area | 279 Sporting Dog Trail | Cheraw, SC
You must click Next on every page and sign on the last page for your entry to be submitted!
Name
First Name
Last Name
Are you an AERC member?
Yes
No
What is your AERC #
Enter Your AERC Expiration Date
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Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone #
Please enter a valid phone number.
Is this your first time participating in an endurance ride?
Yes
No
Are you a junior rider?
Yes
No
If you are a junior rider, who is your sponsor? (**Juniors must ride with a sponsor and wear an approved helmet. **)
First Name
Last Name
If you are a junior, what is your date of birth?
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Month
-
Day
Year
Date
If you are doing Ride & Tie or Equathon, who is your running/rider partner?
AERC Division
Please Select
Featherweight
Lightweight
Middleweight
Heavyweight
Junior
Young Rider
(Featherweight up to 160 lbs - Lightweight between 161 to 185 lbs - Middleweight between 186 to 210 lbs - Heavyweight more than 211 lbs - Junior under 16 on 12/01/2023 - Young Rider under 21 on 12/01/2023)
What is the horse name?
Horse AERC #
What is the horse's breed?
Horse Age
What is the horse's sex?
Mare
Gelding
Stallion
Who is the owner of the horse?
First Name
Last Name
Horse owner AERC#
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Select the distance will you be riding plus any additional fees?
Intro ($85)
25 mile LD Adult ($130)
25 mile LD Junior ($100)
50 mile Endurance Adult ($150)
50 mile Endurance Junior ($100)
Equathon 12 ride/6 run ($85)
Ride and Tie 12 mile ($85)
Ride and Tie 25 mile ($130)
Ride and Tie 50 mile ($150)
Friday Clinic w/ Tracy Foley ($125)
AERC non-member fee ($20)
R&T non-member fee ($15)
Meal donation ($10)
Late fee ($25 must be added to entries and payment submitted after Dec 7th)
Total amount due:
How will you be paying for your entry(s)?
Cash at check in
Check in the mail
Venmo (@Angie-Lindberg456)
Credit Card (payment options are on the next page)
Refunds: A full refund will be given up to a week (7 days) before the ride. No refund will be given the week of the ride (Sunday through ride day). Please understand that awards and entry gifts have been purchased.
Camping is not included in the registration fees. Please call H Cooper Black at (843-378-1555) to reserve an electric or primitive camp site/stall/corral. The facilities has 2 bath houses, water spigots, and a dump station
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CREDIT CARD PAYMENT - Select your payment options below if you are paying by credit card. A total amount due will be shown at the bottom if 1 option or multiple options are selected.
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Intro Ride
Introduction Ride, $5 permit fee included
$
85.00
Junior/Young Rider Fee
Junior/Young Riders get a discounted fee for LD and Endurance rides, $5 permit fee included
$
100.00
25 Mile Ride
25 mile LD ride, $5 permit fee included
$
130.00
50 Mile Ride
50 mile endurance ride, $5 permit fee included
$
150.00
Equathon
12 mile ride, 6 mile run, $5 permit fee included
$
85.00
Ride & Tie 12 Mile
Ride and Tie 12 mile run/ride, $5 permit fee included
$
85.00
Ride & Tie 25 Mile
Ride and Tie 25 mile run/ride, $5 permit fee included
$
130.00
Ride & Tie 50 Mile
Ride and Tie 50 mile run/ride, $5 permit fee included
$
150.00
Friday Clinic
Clinic on Friday with Tracy Foley who will teach you how to Optimize Horse Performance and Fitness. 2 hour clinic plus 30 min session.
$
125.00
Late Fee
Late Fee must be added to entries and payment submitted after Dec 7th
$
25.00
AERC Non-Member
$
20.00
Ride and Tie Non-Member
A yearly membership is $35,and a family yearly membership is $50, link to membership is here: https://www.rideandtie.org
$
15.00
Friday night meal donation
You can donate towards the Soup, Stew, and Salad potluck meal if you are unable to bring a dish.
$
10.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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Liability Release
THIS IS A RELEASE – IT CONTAINS LIMITATIONS ON LIABILITY. PLEASE READ!I understand that under South Carolina State Law an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from the inherent risk of equine activity, pursuant to Article 7, Chapter 9 of Title 47, Code of Laws of South Carolina, 1976.As a participant in the Ride in the Pines at Sand Hills event, I agree to abide by the rules of AERC, SERA, SEDRA, RATA H. Cooper Black Field Trial and Recreation Area, ride management and the Sand Hills State Forest. I understand that endurance riding involves being in areas that have many natural and man-made hazards which ride management cannot and declines to anticipate, identify, modify, or eliminate; that endurance riding involves being in remote areas for extended periods of time, away from communications, transportation and medical facilities; that horses can be excitable, difficult to control and unpredictable; that as a result of participating in the Ride in the Pines at Sand Hills event, my horse or I maybe injured, die or my property damaged and that accidents can happen to anyone at any time. It is expressly understood by the undersigned that Ride Management, all involved property owners and all ride personnel will not endeavor to mark any and all hidden, obvious or potential hazards, but will merely mark the trail to be used. I agree to take full responsibility for the animal that I am riding and myself. I will hold the ride management, all ride personnel, Sand Hills State Forest, H. Cooper Black Field Trial and Recreation Area, the State of South Carolina, and all property owners over whose land the ride crosses blameless for any accident, injury, or loss that might occur due to my participation in the Ride in the Pines at Sand Hills event. I do hereby for myself and my heirs release and hold harmless ride management, ride personnel, all property owners over whose land the ride crosses, AERC, SERA, SEDRA, RATA their agents, officers, servants, my employees and officials, from all claims, demands, actions, and causes of any kind, of injury or death sustained by me or my horse, and damage to my property, incurred during this ride, arising from negligence or any other fault. The foregoing release applies to me and to any junior who I sponsor. This release becomes effective immediately upon my arrival at the Sand Hills State Forest and H. Cooper Black Field Trial and Recreation Area and remains in effect until I have completely left these facilities/grounds
Signature: I have read and understand this liability release
*
Date of Signature for liability release
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Month
-
Day
Year
Date
Please Upload your Coggins. You must have a current Coggins (within 12 months) to be eligible to participate in this ride. If you will not be uploading your Coggins then you must show it at check in.
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Follow along on Facebook Ride Page called Ride in the Pines at Sand Hills for more ride details.
https://www.facebook.com/groups/296505088900752
View or Download the Winter Ride in the Pines Ride Entry Form. This form will also be emailed to you upon submission.
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