Ride Registration * = REQUIRED Ride Select a ride White River Spring Grand Island White River Summer Grand Island North Au Sable Pines Distance Rides White River Labor Day Pioneer Waterloo Rock N Roll Oak Leaf Run Payment method PayPal Rider type Senior / Adult Junior AERC member? No Yes Ride entries Add another day Rider information Returning rider? Auto-fill is exact-match only for privacy. Nothing is shown while typing. After you leave the rider name field, exact rider matches can load rider details. Horse details only load when the horse also matches exactly. Rider name UMECRA rider # AERC rider # Horse name Horse owner AERC/UMECRA horse # Horse ageWhole number from 1 to 40. Horse breed SexSelect OneMaleFemale Horse color Horse reg # Email Phone Address City State Select One ALAKAZARCA COCTDEFLGA HIIDILINIA KSKYLAMEMD MAMIMNMSMO MTNENVNHNJ NMNYNCNDOH OKORPARISC SDTNTXUTVT VAWAWVWIWY ZIP code Emergency contact name Emergency contact phone In-camp emergency contact In-camp contact phone UMECRA divisionSelect divisionHW (186 lbs. & Over)LW (185 lbs. & Under)JR (End. < 16)(CTR < 18)DR AERC divisionSelect divisionHW (211 lbs. & Over)MW (186-210 lbs.)LW (161-185 lbs.)FW (160 lbs. & Under)JR (Under 16) Notes Upload Coggins (PDF/JPG/PNG) Accepted files: PDF, JPG, or PNG up to 5MB. Your uploaded Coggins is stored in WordPress uploads and attached to this registration record. If this horse already has coggins saved in the horse profile, the form can reuse it automatically. Coggins expiration date Optional. Saves to the horse record for future registrations. Digital Signature (Full Legal Name) Refund Policy & Waiver Entries are non-refundable after ride deadline. Some rides may retain a non-refundable deposit. I acknowledge the ride refund policy. view policy Open policy to enable this checkbox. I agree to the ride waiver and entry terms. view terms Open waiver/terms to enable this checkbox. Registration summary Choose a ride, day, and distance to see your total. Total: $0.00 Reset form Submit test registration You will review your registration before payment is finalized.
