Fort Howes AERC Entry Form 2009
June 12-13 , 2010
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 (this includes riders born between 01/01/1987 and 12/31/1992).

Rider's Address

City State ZIP Phone Email

Emergency Contact (At home) Contact Phone Number