Fort Howes AERC Entry Form 2011
June 11-12 , 2011
Ashland, MT

Rider AERC # If no AERC # Status: Please Choose from Below Not a Member ($15/ride) Pending   Rider AHA #

Name  

Weight Division Please Select A Division Feather (160/below) Light (161-185) Middle (186-210) Heavy (211/up) Sponsored Junior   *FEI Only Young Rider Please Choose from Below Yes No   This includes riders from the beginning of the year they reach the age of 16 until the end of the year they reach the age of 21 per FEI General Regulations Article 123.1.

Rider's Address

City State ZIP Phone Email

Emergency Contact (At home) Contact Phone Number