{todaysDate}{isThis105} 

{form_title}         Todays Date {todaysDate} Submission Type {submissionType} Rider AERC # {typeA} Rider Name {riderName} AERC Weight Division {aercWeight57} Does this horse have an AERC number? {doesThis} Horse AERC Number {horseAerc} Horse Name {horseName} Ride day and Distance {rideDay} Address {address} Phone Number {phoneNumber} Email {email} Is this rider a Young Rider? {isThis105} Is this rider a Junior? {isThis} If Junior, riders birth date {ifJunior} Sponsors Name {sponsorsName} Horse Breed {horseBreed} Horse Gender {horseGender56} Horse Color {horseColor} Horse Owner's Name {horseOwners} Upload Coggins (Current within the last 12 months) {uploadCoggins} Is Rider a Member of ECTRA? {isRider81} Rider ECTRA # (if applicable) {riderEctra} Horse ECTRA # (If applicable) {horseEctra} First AERC Ride? {firstAerc30} Are you an AERC Member? {areYou} OD Member? {odMember} Are you sponsorring a Junior? {areYou99} Entry Fees {ltspanStylefontsize} Do you want to buy an extra meal ticket? {wouldYou} Do you want to by Raffle Horse Tickets {doYou} Payment Method {paymentMethod} Calculation {calculationif}             Now create your own Jotform - It’s free! Create a Jotform

ALMOST DONE:

After reviewing your responses and clicking submit: YOU HAVE 2 MORE STEPS

PLEASE return to the OD webpage to complete your entry registration

STEP 1: Liability Waiver and Treatment Authorization Form:

Click on Liability Waiver and Treatment Authorization form sign and SAVE THEM TO YOUR COMPUTER

STEP 2: Scroll down and click on the payment button: select either PayPal OR Credit Card and follow the instructions.

IF paying by Zelle go to your Zelle account and make payment to (payment@odeeo.org.) This is a bank to bank transfer. Save your confirmation of your transaction and forward to Carolyn Blocker. See below

Once you have submitted your payment you should receive a confirmation email.

PLEASE FORWARD the confirmation email to the Ft Valley ride secretary Carolyn Blocker AND ATTACH the signed waiver and treatment form.

Carolyn Blocker: eagleonvineyard@msn.com

IF you selected pay by Check, please mail your check and Waiver/Treatment forms to:

Carolyn Blocker, 2517 Vineyard Lane, Crofton, MD 2114