Antelope Island Registration

Rider Information*

Full NameAERC Number

Contact Information*

Phone numberFormat: (000) 000-0000.

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Division*

Name of Sponsor for Junior Riders

Saturday Day 1 Distance

Intro Ride ($60)25 miles ($150)50 miles ($150)

Horse Information for Day 1

Full NameAERC Number

Sunday Day 2 Distance

Intro Ride ($60)25 miles ($150)50 miles ($150)

Horse Information for Day 2

Full NameAERC Number

Total Amount Due for Ride Weekend:

Please add $15 per day if you are not an AERC member.

A $50 non-refundable fee is required to hold a slot due to limited entries. Rider will pay the balance upon arriving to camp and checking in at registration. Please select how the registration fee will be paid:*

Sending $50 non-refundable fee to Jeff Stuart's Paypal j4kstuart@msn.com. Please select "family and friends" to avoid additional fees.Mailing a $50 non-refundable check to Jeff Stuart 6553 S 1500 E Ogden, UT 84405

ANTELOPE ISLAND ENDURANCE RIDE WAIVER CONTRACT:

I have entered the ANTELOPE ISLAND Endurance Ride and agree to ride by all their rules, as well as those of the AERC. I understand that endurance riding is a hazardous activity, which often involves being in remote areas far from medical aid. I understand that I am riding the event at MY OWN RISK, and will assume FULL RESPONSIBILITY for my safety, those in my party and my horse(s). I will abide by all COVID guidelines and practices. I acknowledge the fact that, while I am on my own, my horse is under veterinary supervision, and I agree to abide by the veterinarian’s decisions, as at this ride the veterinarian’s word is FINAL. I will not argue, debate or dispute the vet’s instructions, nor will I shirk my duty of paying the vet bill if my horse is in need of treatment. I do understand that abuse of the horse is strictly forbidden.

In addition, I and my heirs, executor, and administrator, will hold AERC and officers thereof, any member of the ANTELOPE ISLAND Endurance Ride Committee and officers thereof, Utah State Parks and it’s employees, and all property owners/tenants whose land I ride/walk over, absolutely BLAMELESS for any injury or loss to myself or my horse which occurs due to my participation, and free them from all liability for such injury or loss. In short, I nor anyone associated with me or by business, WILL NOT SUE the ANTELOPE ISLAND Endurance Ride Management, their personnel, Utah State Parks FOR ANY REASON OF ANY KIND! RIDE MANAGEMENT RESERVES THE RIGHT TO REFUSE ENTRY TO ANYONE.

Signature