LTH TURKEY CHASER RIDE ENTRY FORM

Love this Horse Endurance Ride

Rider Number (For Management, DO NOT FILL IN)

Rider Name

AERC #

Address

Phone Number

Email

example@example.com

Rider:

SeniorJunior

If Jr, provide Date of Birth

Weight Division - rider weight with tack in lbs. (check one)

Featherweight (160 or below)Lightweight (161-185)Middleweight (186-210)Heavyweight (211 & above)

DAY 1 Horse Name

Horse AERC

Owners Name

Breed

Breed Registration

Distance

DAY 2 Horse Name

Horse AERC

Owners Name

Breed

Breed Registration

Distance

Intro25 miles50 miles

Any Junior rider or Young rider under 18 years of age, Intro & 25-mile, rides for FREE
$100 Intro (includes complimentary AERC day membership)Amount
$150 25 & 50 Mile Ride ($270 for both days) Amount
Early Bird Registration (before 04/15/2025)
$135 25 50 Mile Ride 250 for both days
$175 65, 75, & 100 Mile Ride
Early Bird Registration (before 10/15/2025 - discount $20)
Saturday Night Dinner ($20 per person) Amount

Please pre-pay to PayPal.me/lovethishorse or Venmo @lovethishorse (code 1712) or via check payable to: Love this Horse Equine Rescue, 8800 Wetzel Lane, Mojave, CA 93501

Return registration via email to ove.this.horse.equine.rescue@gmail.com or via U.S. Mail

As a participant in the Ride, I First Name Last Name agree to abide by the Rules of AERC and the aforementioned ride. I understand that endurance riding involves being in remote areas for extended periods of time, far from communications, transportation, and medical facilities; that these areas have many natural and man-made hazards which ride management cannot anticipate, identify, modify, or eliminate; 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. In exchange for the privilege of participating in AERC endorsed distance rides, I, my heirs, executors, and administrators will hold harmless and blameless AERC and all officers and directors thereof, all members of the ride management and ride personnel, and all property owners/tenants upon whose land the distance rides are held from all liability for any injury or loss to myself or my horse which occurs due to my participation, or anyone who accompanies me to AERC events. Junior riders (for AERC under 16 years as of December 1 of current ride year entered in the ride will be accepted and allowed to ride only if accompanied by a competent adult (18 years or older)and must be duly entered as a competitor in the event and sponsorship must be documented on the Junior entry form, complete with sponsor signature, at the time sponsorship begins.

If AERC rules 10.3, 10.3.1 and 10.3.2 are met an AERC member 14 years or older who has completed 500 miles or more in the AERC rider mileage program may ride unsponsored, but will compete in the Senior division. Such unsponsored rider must have on file in the AERC office a letter by parent or guardian which consents to and requests unsponsored status. The AERC office will then provide a letter for this unsponsored rider verifying 500 miles in AERC rider mileage program, which letter must be presented to ride management at check-in or earlier. Per AERC rule 10.3.3 ride management may choose not to honor the unsponsored rider rules and may require all persons under 16 years of age to have sponsors. When sponsors are required, Juniors will not be allowed to start or continue on from any point without an adult sponsor. Additionally, all riders under 16 years must wear protective helmets when mounted.

RIDERS SIGNATURE

DATE

Date

PRINTED NAME

EMERGENCY CONTACT NAME

PHONE #

Parent/Guardian signature gives permission for emergency medical treatment for Junior.

SIGNATURE OF PARENT/GUARDIAN if a minor

PRINTED NAME OF PARENT/GUARDIAN

DATE

Date

RELATIONSHIP TO THE ABOVENAMED MINOR

SPONSORS NAME if other than parent or guardian

SPONSOR'S CELLPHONE #

LIABILITY RELEASE