2026 No Frills Entry Form

1
Todays Date* This field is required.
Date
Year
Month
Day
2
Submission Type
Please Select
Please Select
Online
3
Rider AERC #Don't know your AERC number? You can find it on the AERC webpage Member Home/ My Info
4
Rider Name* This field is required.
First Name
Last Name
5
AERC Weight Division* This field is required.These weights include all tack. If you are not an AERC member, an estimate is fine. J = Juniors (under the age of 16 on 12/1/2025) YR = Young Rider: For riders from 16-21 as of the 1st day of the ride season (12/1/25) FW = Featherweight (up to 160 pounds) LW = Lightweight (161-185 pounds) MW = Middleweight (186-210 pounds) HW = Heavyweight (211 pounds and over)
J - Junior
YR - Young rider
FW
LW
MW
HW
6
Horse AERC Number (does not have one , leave blank)Don't know your horse's AERC number? You can find it on the AERC webpage https://aerc.org/membership/member-horse-lookup/
7
Horse Name* This field is required.
Enter TBD if horse is undecided
8
READY TO TRY A NEW DISTANCE

BIG INCENTIVE PROGRAM

HAVE YOU BEEN THINKING ABOUT BUMPING UP:

From an Intro to an LD (25 or 30s) going from 25 to 30 is NOT a bump up

OR

Going From LD (25 or 30s) TO Endurance (50 or 55s) going from 50 to 55 is NOT a bump up

BOY DO WE HAVE A DEAL FOR YOU:

The Old Dominion is offering an INCENTIVE PROGRAM for those taking the challenge

Sign up for the new LONGER DISTANCE BEFORE the early bird deadline and get a HUGE DISCOUNT

IF you have ONLY DONE INTROS until now, and sign up for the 30 mile ride before April 6th, you will ONLY pay $55. (that is a 50% discount) (NO REFUNDS) If you change your mind, and drop to the Intro you have already paid

IF you have ONLY DONE LDs until now, and sign up for the 55 mile ride, you pay the LD fee of $110 ($85 for Juniors) (NO REFUND) If you change your mind and drop to the LD, you have already paid the LD entry fee

DISCOUNT WILL BE APPLIED ON THE "ENTRY FEES" PAGE of this form

OFFER EXPIRES APRIL 6TH
9
Ride day and Distance* This field is required.Select Which Day and which distance
55 Fri
30 Fri
55 Sat
30 Sat
Intro. Sat ONLY
10
If rider is a Junior, riders birth dateJ = Juniors (under the age of 16 on 12/1/2024)
Born after 12/1/2007
11
Sponsors NameJ = Juniors (under the age of 16 on 12/1/2024)
12
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
13
Phone Number* This field is required.
Please enter a valid phone number.
14
Email* This field is required.
example@example.com
15
Emergency Contact InformationPlease provide a name and phone number of your emergency contact
16
Horse Breed
17
Horse Gender
Gelding
Mare
Stallion
18
Horse Color
19
Horse Owner's Name* This field is required.
20
Upload Coggins (Current within the last 12 months)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
21
Rider ECTRA # (if applicable)
22
Horse ECTRA # (If applicable)
23
First AERC Ride?
YESNO
24
Are you an AERC Member?* This field is required.AERC has INCREASED the Day Fee to $20
YES
NO ($20 AERC Day Fee will apply)
Intro Rider (no AERC fee charged)
25
OD Member?* This field is required.Is the rider a Member of the Old Dominion Equestrian Endurance Organization? (A $5 discount will be applied to your entry fee) (This is different from AERC Membership) Want to become an OD member and receive discounts on all ride entries and be eligible for the OD Triple Crown? Go to: https://www.olddominionrides.com/membership
YES (A $5 discount will be applied to your entry fee)
NO
26
Are you sponsoring a Junior in the 30 or 55 mile distance?($20 discount for Sponsors) Does NOT APPLY for the Intro Ride
YES I am sponsoring a junior
NO
27
Entry Fees (SELECT CAREFULLY PLEASE)* This field is required.IF YOU ARE REGISTERING AFTER April 6th (Early Bird Deadline), AN ADDITIONAL $50 will be applied to the amount listed below DOES NOT APPLY TO INTRO RIDERS Please choose carefully: PRICES LISTED BELOW ARE EARLY BIRD PRICES OD members will receive a $5 discount applied at the end
55 Mile SENIOR ($130)
55 Mile Senior 1st time ONLY DONE LD UNTIL NOW ($110) Only good until 4/6
55 Mile JUNIOR ($105)
55 Mile Junior 1st time ONLY DONE LDs UNTIL NOW ($85) Only good until 4/6
30 Mile SENIOR ($110)
30 Mile Senior 1st time ONLY DONE INTROs UNTIL NOW ($55) ONLY good until 4/6
30 Mile JUNIOR ($85)
30 Mile Junior 1st Time ONLY DONE INTROS UNTIL NOW ($50) ONLY good until 4/6
Introductory Ride SATURDAY ONLY
28
Payment Method* This field is required.REFUND POLICY: Scratches BEFORE the early bird deadline (April 6th )Full Refund minus $25 non-refundable deposit After April 6th: Refunds minus a $50 non-refundable deposit will be issued up through Sunday, April 12th April 12th-15th a partial refund will be issued on a case by case basis. NO REFUNDS after Wednesday, April 15th Mail checks to: Carolyn Blocker, 2517 Vineyard Lane, Crofton, MD 21114 If paying by Credit Card or PayPal please go to the OD website AFTER completing this form. https://www.olddominionrides.com/entry-forms and click on payment button
PayPal (+$3 service fee will be added to your total)
Credit Card (+$3 service fee will be added to your total)
Check (Mail to Ride Secretary) (NO FEE added)
ZELLE (Use your Zelle account, make payment to (payment@odeeo.org) Bank to Bank transfer NO FEE
Other
29
Calculation

Review your responses before clicking submit below


	{form_title}

Todays Date	{todaysDate}
Submission Type	{submissionType}
Rider AERC #	{typeA}
Rider Name	{riderName}
AERC Weight Division	{aercWeight57}
Horse AERC Number	{horseAerc}
Horse Name	{horseName}
Ride day and Distance	{rideDay}
Rider a Young Rider	{isThis}
Is this rider a Junior?	{isThis80}
If Junior, riders birth date	{ifJunior}
Sponsors Name	{sponsorsName}
Address	{address}
Phone Number	{phoneNumber}
Email	{email}
Emergency Contact Info	{emergencyContact}
Horse Breed	{horseBreed}
Horse Gender	{horseGender56}
Horse Color	{horseColor}
Horse Owner's Name	{horseOwners}
Upload Coggins (Current within the last 12 months)	{uploadCoggins}
Rider ECTRA # (if applicable)	{riderEctra}
Horse ECTRA # (If applicable)	{horseEctra}
First AERC Ride?	{firstAerc30}
Are you an AERC Member?	{areYou}
OD Member?	{odMember}
Sponsoring a Junior	{areYou87}
Entry Fees	{ltspanStylefontsize}
Payment Method (fees)	{paymentMethod}
Calculation	{calculation}

Now create your own Jotform - It’s free!

Create a Jotform

31
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 No Frills ride secretary Carolyn Blocker AND ATTACH the signed waiver and treatment form.

PLEASE DO NOT SEND snap shots of the documents.

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 21114
Should be Empty:

{form_title}