Nominate

Pre-nomination

Please note: Ride fees for all Autumn Challenge events can be made on the day

Please complete the online pre-nomination form below. Alternately, you may download entry forms and fax them to 07 5464 4538.

Online Pre-nomination Form

March 2012 - Autumn Challenge

Rider Name (must be completed)

Phone

Email (must be competed)

Residential Address

State

AERA Affiliated Membership No. (Field must be completed - not required for day members)

Riding Division (not required for 20km & 40km riders)

JuniorLightweightMiddleweightHeavyweight

Ride Entry for

Saturday 24th March - 20kmSaturday 24th March - 40kmSunday 25th March - 40kmSunday 25th March - 80kmSunday 25th March - 120km

HORSE DETAILS

Horse Name

Logbook No. (if applicable)

Date of last 80km ride (if applicable)

Horse Sex

MareGeldingStallion

Breed

VOLUNTEERS

Please understand to hold these events we need volunteers. No experience necessary - it could be a friend or family member.

I can supply a volunteer for half a dayI can suppy a volunteer for a full dayI can supply a volunteer for two daysSorry, no one available

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