XP Ride Entry Form
Full Name
*
Last Name
First Name
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Choose which ride you are entering.
*
Coso Junction
Death Valley Encounter
Bar H
Lost Padres
Eastern Mojave XP
Cuyama Oaks XP
Mount Carmel XP
Grand Canyon XP
Paunsaugunt (Bryce) Canyon XP
Outlaw to Bryce Getaway
Virgin and Outlaw
Sesenta Anos
Are you riding limited distance or the endurance distance? (Check All That Apply)
*
Limited Distance
Endurance Distance
How many days are you planning on riding?
*
One Day
Two Days
Three Days
Four Days
Five Days
Riders AERC Number
*
If none type in "n/a"
Select your weight division
*
FW
LW
MW
HW
Junior
Horse Name
*
Horse AERC Number
*
If none type in "n/a"
Horse Breed, Gender, Color and Age
*
Additional Horse Information - Include Name & AERC Number. If none type in "n/a"
Comments?
Enter the message as it's shown
*
Submit Ride Entry
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