Merrickville Ride on-line entry available until May 18, 2020
Event Timing: May 30 & 31 2020
Event Address: 773 Corktown Road, Merrickville, ON
Contact us at (613 ) 269-4287  or merrickvilleride@gmail.com
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Type of event. One event per entry form, please! *
Required
Rider 1 Name *
Rider 1 Address *
Rider 1 is junior under 18 years of age? *
Name of sponsor for junior Rider 1
Rider 1 OCTRA membership number or pay day member fee of $20 ($5 for Ride and Tie only) *
Rider 1 EnduranceLimited Distance and 25 mile Ride and Tie only - AERC membership number or pay day member fee $20
Rider 1 Endurance and Limited Distance only - AERC weight division
Clear selection
Rider 1 Liability insurance provider and policy number *
Rider 1 Email *
Rider 1 Phone number *
Rider 1  Emergency Contact and phone number *
Horse owner (name, address, phone number) *
Horse registered name *
Horse OCTRA number *
Horse AERC number (Endurance, Limited Distance and 25 mile Ride and Tie only)
Horse Breed *
Horse sex and age *
Date of negative Coggins test *
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Ride 'n Tie only - Rider 2 Name
Ride 'n Tie only -  Rider 2 email
Ride 'n Tie only - Rider 2 is junior under 18 years of age?
Rid 'n Tie only - Name of sponsor for junior Rider 2
Ride 'n Tie only - Rider 2 OCTRA membership number or pay day member fee of $5
Rider 2 25 mile Ride and Tie - AERC membership number or pay day member fee $20
Ride 'n Tie only - Rider 2 Liability insurance provider and policy number
Ride 'n Tie only - Rider 2 Email
Ride 'n Tie only - Rider 2 Phone number
Number of extra Saturday meals ($15 each)
Clear selection
Number of extra Sunday meals ($15 each)
Clear selection
I understand that refunds are subject to $15 fee with receipt of DNS scorecard or DVM/MD note if entry withdrawn prior to competition. No show, no refund. *
By checking below I agree: Helmets: It is mandatory for helmets to be worn at all OCTRA sanctioned events, when riding anywhere on grounds. Riders Under 18 years when riding on any road allowance, must wear footwear with a heel, or break away stirrups, or stirrups with a cage. This is in accordance with the Highway Traffic Act of Ontario. Meals: The availability of extra meals cannot be guaranteed unless they are ordered by July 28, 2017. ALL RIDERS MUST SIGN THIS WAIVER BEFORE ENTERING THE RIDE. As a participant in the aforementioned ride, I agree to abide by the rules of OCTRA.  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 policie *
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