BRIGHTWOOD RANCH RIDE-A-THON
GENERAL INFORMATIONName: / Birth Date:
___/___/___
Address:
City: / Province: / Code:
Home Phone: / Work/Mobile Phone: / Email:
If under 15, the name of the adult you will be riding with:
EMERGENCY CONTACT
Name: / Relation:
Address:
City: / Province: / Code:
Home Phone: / Work/Mobile Phone:
ACCOMMODATIONS (please check accordingly)
I would like to stay at Brightwood on Friday night…
Yes
Undecided
No
If yes, please indicate where you will be staying…
In a cabin
I have a trailer
I would like to bring horse(s) Friday night
Yes (please realize that you must supply your own panels/corals/feed)
No
I will be staying for supper after the ride…
Yes
No
HORSE & RIDE INFORMATION
Ride Length
I will be doing the three hour ride
I will be doing the five hour ride
I will be on the wagon ride
I am not sure, but will notify you at least a week prior to the ride
Horse Ridden
I am bringing my own horse
I would like to use a Brightwood horse
(please fill out our horse experience form on the other side of this page)
This is my first participating in this ride…
Yes
No
If I win the colt as a grand prize, I am willing to accept responsibility for it the day of the ride or within a week of the ride ending
Yes
No
2013 RIDER REGISTRATION
PLEASE RETURN THIS PAGE TO OUR OFFICE AS SOON AS POSSIBLE.When you have returned this page, you will be sent your donation book.
Mail: PO Box 277Evansburg, ABT0E 0T0
Fax: (780) 727-2585 Phone: (780) 727-3840
If you need one of the camp horses, please fill in the info on the opposite page.
BRIGHTWOOD RANCH RIDE-A-THON
RIDER EXPERIENCEI can confidently apply the basics of riding (stop/start/steer/back up)
Yes
With assistance
Not yet
I can ride independently and with control at a walk and trot
Yes
With assistance
Not yet
I can ride independently and with control at a lope
Yes
With assistance
Not yet
I am comfortable and capable of riding up and down hills, over a variety of terrain, and in/through water
Yes
With assistance
Not yet
I can lead a horse to water, but I can’t make it drink
Yes
No
I can’t believe this is a question
I have been on a trail ride that has lasted two hours or more
Yes
No
Over the past two years, I have spent approximately _____ hours riding
Less than 10
10-20 hours
20-30 hours
Over 30 hours
Please add any additional riding/horse experience here:
RIDER INFORMATION
Rider height & weight must be included in order to properly match you with an appropriate sized horse
Rider height: ______
Rider weight
160 lbs and under
161-185 lbs
186-210 lbs
211 lbs and over / I am riding in the…
Short ride
Long ride
**If you are using a Brightwood horse you MUST stick with the length of ride you sign up for. Not all of our horses are at an age/fitness level to partake in a 5 hour trail ride, and we assign accordingly.
RIDER EXPERIENCE APPLICATION FOR PEOPLE NEEDING TO USE A CAMPHORSE