Ride Entry Selection - Secretary must get this 10 days before the ride

By submitting this form I am agreeing to the following, and as a participant in the aforementioned ride, I agree to abide by the rules of OCTRA and/or AERC and /or AHA and/or Equine Canada. I understand that distance riding involves being in remote areas for extended periods of time, far from communication, transportation and medical facilities; that these areas have many natural and manmade hazards which can include unpredictable weather conditions, which ride managers cannot anticipate, identify, modify or eliminate; that horses can be excitable, difficult to control, unpredictable; that accidents can happen to anyone at any time. I agree to take full responsibility for myself and the animal that I am riding. I will hold the ride management, all rider personnel and all property owners, over whose land the ride crosses, blameless for any accident or loss that might occur due to my participation in the ride and free from liability for such injury or loss. I have read and understand this liability release. By paying the non-member OCTRA day fee, I agree to the fact that I am an OCTRA member for the day and will abide by all OCTRA rules and policies.
Refund Policy: No show – No refund. If notification of withdrawal from the ride is made within the 10-day period prior to the ride date, for medical/veterinary reasons or if the horse fails to pass the preliminary veterinary check, then all monies paid will be refunded, talk to Connie or Deb, with the exception of an administration fee as outlined in the ride flyer.

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* 1. Entering 3 Day Pioneer Ride

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* 2. Or are you riding the;  (you may answer more than one)

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* 3. First time rider?  Answer below yes or no. Rider must be entered in the 12 mile or 14 mile Set Speed Ride.  Please pay full amount and refund of $50 will be given, after checking credentials, within 2 weeks after ride.
First Time Ride Free. Click for more Info

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* 4. Insurance Company Name and Policy Number. Negative EIA - Coggins- Serial Number and date of Coggins taken.

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* 5. How much did you pay in Pay Pal or are you sending a cheque by mail? Email used in Pay Pal.
Rider Name.  Full Address.  Home Phone.  
Junior Rider (15 Yrs. or under) or Sponsored Rider (17 Yrs or under)?

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* 6. RIDER:  OCTRA #. Your Cell Phone #.  Emergency Contact Name. Phone #.  Your Email.  AERC number.  AHA Membership #.
AHA entrants please include qualitying rides in this section.  AHA Riders Qualifying rides listed here with Rider Name, Date, Ride Name, Sanctioning Body, Location and Mileage.

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* 7. Horse Owner Information: Name. Email. Address. Owner OCTRA #. Phone #. AERC number.  AHA Membership #

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* 8. Horse Information: Registered Name. Registration number.  Age: Birth Month and Year. Breed. Colour. Gender- Mare , Gelding , Stallion. If known Horse OCTRA number and Horse AERC number.  AHA  Sweepstakes #.

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* 9. Set Speed: Please indicate if you are riding Bronze, Silver or Gold. Please give Rider Mileage and Horse Mileage.
Indicate if you are an Endurance Rider or Limited Distance: Weight Division with tack:, Including Limited Distance Riders; 
Fwt. >160 LBS,
Lwt. 161 - 185 LBS,
Mwt. 186 - 210 LBS,
Hwt. 211<

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* 10. All Riders:  Please read Events Flyer and print off and bring with you, page 5 of the Events Flyer, signed by you, to give to the ride secretary, if not sending it in by mail.
By clicking "DONE" below you are agreeing to all of the terms and conditions outlined in the top paragraph and in the OCTRA and AHA ride flyers that need your signature on the Ride Website   www.mhproc.com 
AHA riders we still need you to bring AHA entry form and sign a hard copy of the AHA waiver/ release section.  Please bring it and all other forms to the ride with you.
Answer to ride terms and conditions:  Agree or Disagree
Thank you

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