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