Clone of 2026 Grizzly Mtn Ride Endurance Ride

Grizzly Mtn Endurance Ride Registration April 18, 2026

Ride Camp location: Miller Ranch, 12205 SE Hwy 26, Madras OR 97741 .
Rider includes Adult, Sponsor, Junior, Young Rider, and Intro/Trail Rider. Juniors and Young Riders under 18 as of January 1, 2026 ride for free. Young Riders over the age of 18 pay full price.
Rider Name*

Rider First NameRider Last Name
Parent/Guardian Responsible for Junior Rider

Parent/Guardian First NameParent/Guardian Last Name
Birth date of Young Rider or Junior Rider

MonthDayYear
Junior Rider Birth date
Sponsor (must be 18 years or older)

Sponsor First NameSponsor Last Name
Rider Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rider Phone Number*
Rider phone number
Rider Email *
Rider email
Emergency Contact Name*

Emergency Contact First NameEmergency Contact Last Name
Emergency Contact Phone Number*
Emergency phone number.
Your horse information is needed in case we have to look for you.
Horse Endurance Ride Information below
Horse's 2026 AERC Number
Horse's current AERC number to verify
Horse's 2026 PNER Number
Horse's current PNER number to verify
Horse's Registered Name to track AERC and PNER points
Horse's Registered name
Horse Name & Barn Name (Both)
Horse Name & Barn Name
Horse Gender
Horse Gender pick one
Horse Age
Horse Age
Horse Breed / Color
Horse Breed
Owner's Name
Owner's first and last name

Endurance ride entry fees refund policy:

Does not apply to Intro/Trail Riders

Refunds will be given prior to April 7, except for a $25.00 administration fee. Refunds after that date are at ride management descretion. On-line entry will close at midnight, April 16.

After April 7th ride fees will increase by $15.00

RIDE FEES

Intro/Trail Ride	$45
Limited Distance	$130
50 Mile Endurance Elevator	$140
75 Mile Endurance (Requires 5 entries)	$185
Non AERC Fee each day	$20

DISCOUNTS (For Endurance Entries Only)

Juniors/Young riders under the age of 18 ride for free.

Rider Managers HALF PRICE with reciprocity. Applles to one ride manger per ride.

RIDE FEE PAYMENT:

Credit cards accepted, instructions for credit card payments are at the end of this entry form before the "submit button"

If you plan to pay by check or cash at the ride, to hold you entry please mail a deposit of $25 before April 1 to the address below, balance of ride fee due at check in. Make your check payable to Jennifer Butler and send to

Grizzly Mtn Ride

C/O Carol Giles

1304 NE Montana Ln

Prineville, OR 97754-7902

Endurance Riders, Ride Managers and Intro/Trail Riders, scroll down to the Ride Fee Box and click in the square next to the ride you are riding in. If you are a Non AERC member click in the square to apply the fee to your ride total. Ignore the Categories All box.
Categories:All

All

Full Price Ride Fee

Non AERC Fee (does not apply to Intro/Trail Riders)

Ride Manager Half Price Ride Fee

Intro/Trail Ride Fee 10 mile
prevnext( X )
Full Price Ride Fee

25 Miles (LD)
$130.00



50 mile Endurance ELEVATOR Ride
$140.00



75 mile Endurance Ride (Requires 5 Entries)
$185.00



Non AERC Fee (does not apply to Intro/Trail Riders)

Non AERC Fee
$20.00



Ride Manager Half Price Ride Fee

Limited Distance Ride
$65.00



50 mile Endurance Ride
$70.00



75 mile Endurance Ride
$92.50



Intro/Trail Ride Fee 10 mile

Intro/Trail Ride 10 mile
$45.00



Intro/Trail Ride Junior 10 mile
$45.00



Total

$0.00
Are you an AERC Member?*
Are you a PNER Member?*
Rider AERC Number
AERC number
Rider PNER Number
PNER number
Rider Division Young Riders over 18 pick a weight division.*
Please select a division
If Ride Manager please type in the name of ride managed
Type in Ride Managed
Distance you are riding*
Distance you are riding
Endurance Riders will pay for ride fees below:

Pick which ride pertains to you.

Young Riders 18 and over

Young Riders will ride in the weight division they pick and pay the ride fee that pertains to them, either as a current 2026 PNER member or as a non-PNER member. If you are not an AERC member you will pay the non-AERC fee.

Juniors/Young Riders Under 18

Juniors/Young Riders under 18 ride for free. Make sure the Registered Rider Division is chosen.

Intro/Trail Riders

Trail/Intro Riders scroll down toward the bottom of the fee list to pay for your ride. If you have a junior riding please pick the Junior/Intro Trail Rider. The non-AERC fee does not apply to Intro/Trail Riders.
CHECKS/MONEY ORDERS

Make your $25 deposit payable to Jennifer Butler

Grizzly Mtn Ride

C/O Carol Giles

1304 NE Montana Ln

Prineville, OR 97754-7902

and mail before April 1 or pay the balance when you check in at camp.

Credit Card Payments

Scroll down to the bottom of this form for instructions on how to pay with Paypal.

Questions please email me at cindisayer@gmail.com or call/text 425-681-1796
How are you paying for your ride entry?*
How are you paying for your ride entry?
Check Number/name on check
Ride Secretary Notes
Rider Number
Liability forms:

All riders MUST sign the liability release form when they register or sign in at camp BEFORE the ride.
For credit card payments:

Per Paypal because we are not selling a product.

Please pick FRIENDS and FAMILY when you pay with your credit or debit card.

If using Paypal, scan the QR code for Paypal down below, enter your email and password and log in, this will open the Jennifer Butler Grizzly Paypal account and enter the dollar amount owned for the ride. Please add a note of what distance you are paying for. Thank you

If you dont have access to a computer log into your own paypal account and pay to Jennifer Butler @ Mary and Anna Ride. Please add a note saying you are paying for the Grizzly Ride and the distance.

Thank you for entering, we appreciate your support.
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Grizzly Mtn Endurance Ride Registration April 18, 2026