AHAA Halloween Endurance Ride - Scottsdale
AHAA Halloween Endurance Ride Saturday, October 30th, 2010 AERC Sanctioned Ride 25/50 Miles Sponsored by Arabian Horse Association of Arizona
Official Entry Form Rider Information: Rider AERC No.:_______________AHA#_________ Name: __________________________________________________ Address: __________________________________________City/State/Zip:_____________________________________ Phone: _________________________ Cell: ________________________ Email:_________________________________ Junior Rider: Junior Riders must wear helmet and be accompanied by adult entrant. Age:________ Birth-date: _______________________________Sponsor:_______________________________________ Ride Information: Division:
Distance:
Junior (16 & under)
Featherweight (up to 161 lbs)
Middleweight (186-210 lbs)
Heavyweight (211 + lbs)
25-mile
Lightweight (161-185 lbs)
50-mile
Horse Information: Horse Name:____________________________________________ Horse AERC No.:______________________________ Breed:_____________________________ Age:_____________________ Sex:____________ Color:_________________ Horse Owner’s Name:__________________________________ AERC No.:______________________________________ Payment Information: Ride Fee:
25-mile $70.00
50-mile $90.00
AERC Non-Members must add $15.00 to each distance for single event ride A $10.00 deposit required for each horse, this is refundable after ride for those who leave parking lot clean. Amount $:______________________________________
Cash
Check
Master card
Visa
American Express
Credit Card number: ________________________________________________________________________ Expiration date:_________________ Name on Card: __________________________________________________ Signature: ___________________________________________________ After your area has been cleaned up you may check out with the ride manager and get your $10.00 refund back. Mail entry form and payment payable to: Arabian Horse Association of Arizona PO Box 13865 Scottsdale, AZ 85260
Please help ride management and pre-register - Entry fees are 100% refundable if you do not start the ride
Official Entry Form Rider Information: Rider AERC No.:_______________AHA#_________ Name: __________________________________________________ Address: __________________________________________City/State/Zip:_____________________________________ Phone: _________________________ Cell: ________________________ Email:_________________________________ Junior Rider: Junior Riders must wear helmet and be accompanied by adult entrant. Age:________ Birth-date: _______________________________Sponsor:_______________________________________ Ride Information: Division:
Distance:
Junior (16 & under)
Featherweight (up to 161 lbs)
Middleweight (186-210 lbs)
Heavyweight (211 + lbs)
25-mile
Lightweight (161-185 lbs)
50-mile
Horse Information: Horse Name:____________________________________________ Horse AERC No.:______________________________ Breed:_____________________________ Age:_____________________ Sex:____________ Color:_________________ Horse Owner’s Name:__________________________________ AERC No.:______________________________________ Payment Information: Ride Fee:
25-mile $70.00
50-mile $90.00
AERC Non-Members must add $15.00 to each distance for single event ride A $10.00 deposit required for each horse, this is refundable after ride for those who leave parking lot clean. Amount $:______________________________________
Cash
Check
Master card
Visa
American Express
Credit Card number: ________________________________________________________________________ Expiration date:_________________ Name on Card: __________________________________________________ Signature: ___________________________________________________ After your area has been cleaned up you may check out with the ride manager and get your $10.00 refund back. Mail entry form and payment payable to: Arabian Horse Association of Arizona PO Box 13865 Scottsdale, AZ 85260
Please help ride management and pre-register - Entry fees are 100% refundable if you do not start the ride
