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