Ride Entry Tevis Cup Application for Entry 66th Annual Western States Trail Ride Application - July 16, 2022. "*" indicates required fields Step 1 of 2 50% "*" indicates required fields. If the form does not submit, scroll up to see what you missed. It will be red. Please note, some selections may be hidden until you check the relevant box. If you require a stall, please ensure you state your arrival and departure dates in order to be correctly billed. The Ride will be seeded as in past years. Instructions on how to submit a request to be considered for Pen 1 will be issued closer to the ride date. You will not be considered “entered” into this year’s ride until payment has been received. Are you qualified to enter the Ride? To enter for The Tevis Cup Ride you must: have previously completed The Tevis Cup 100 Mile Ride, OR accumulated at least 300 miles on sanctioned rides of at least 35 miles in length. Ride Policies Rules governing the WSTF differ in some respects from those of other AERC sanctioned rides. The WSTF Rules will be applied and adhered to before, during and after the Ride. The Ride rules are pending BOG approval and will be available on the WSTF website (www.teviscup.org) or may be requested from the WSTF office. Please read them carefully. Receipt of a completed entry by the WSTF does not guarantee acceptance to the ride. Applications by junior riders who are over 12 and under 18 on ride day will only be considered final once we receive the entry of an adult rider (21 years or older) as sponsor.Refund PolicyRider entry withdrawal requests received at the Tevis office on/before July 1, 2022 (and horses pulled at check-in) will receive a refund, less a $30 non-refundable administrative fee, 30 days post ride. No refunds for withdrawals after July 1, 2022 or for no shows. Horses unable to start because of injury or sickness occurring on/after July 2, 2022 and fully documented by a vet, may receive partial refunds at the discretion of ride management. Deadline for refund of stall reservations is on/before July 2, 2022. Rider Entry Information: All applicants MUST meet Ride Qualifications.Name* First Last Birth Date* Month Day Year Gender* Male Female Other Are you an AERC Member?* Yes No ($15 Membership Fee Added) AERC No.*Most riders have an AERC Number. If you do not have one or do not know it, you can leave this blank. Mailing Address* Street Address City State / Province / Region / County (UK) ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cell Phone Number*This is strictly for communication during Ride Week and should be a U.S.-based contact number. Email*Most communication will be sent via email. Enter Email Confirm Email Type of Entry*Traditional Ride Entry $450 Fee includes drug testing, Robie Park Camping and one ticket to the Sunday Awards Banquet. Signature Ride Entry: $1600 includes traditional ride entry plus a completion buckle, tickets to the VIP dinner, Wednesday barbeque, Friday night dinner, Sunday Awards banquet, 4 nights stabling and an $800 donation to WSTF. Traditional Ride Entry - $450 Signature Ride Entry - $1600 Check If ApplicableTo qualify, Riders (not the equine) must, at the time of application, meet one of the two qualifications below. The 300 miles are cumulative lifetime. Equine must be a minimum of 72 months (6 years) old at time of ride. 1. I have previously completed the Western States Trail Ride. OR 2. I have completed a total of 300 miles of rides sanctioned by WSTF, AERC, NATRC, and/or a foreign or international equivalent. All the rides except those sanctioned as Education Rides by WSTF were 50 miles or more in length. Note: You may count toward the required 300 miles, 75 miles for each day that you have completed on a WSTF Education Ride (prior to 2018) up to a maximum of 150 miles. Junior Rider (under 18 Years Old on ride date) Sponsor of a Junior (must be 21 Years or older on ride date) Neither Junior nor Sponsor Have you finished Tevis before? Yes No Signature Ride EntryYou have selected the Signature Ride Entry for $1600Your Signature Entry includes (but is not limited to): Ride Entry; Completion Buckle; Tickets to the VIP dinner, Wednesday Barbeque, Friday Night Dinner, Sunday Awards Banquet; 4 Nights Stabling, a tax-deductible $800 Donation to WSTF, and other goodies.Statement of QualificationPRE-QUALIFICATION IS REQUIRED. To qualify to enter Tevis, Riders (not the equine) must, at the time of application, meet one of the qualifications below. Equine must be a minimum of 72 months (6 years) old at the time of ride.* I have previously completed the Western States Trail Ride. I have completed a total of 300 miles of sanctioned rides, and/or a national/international equivalent. All rides were 35 miles or more in length in one day. The 300 Miles are cumulative lifetime. Please list the rides and sanctioning body:*Number of Tevis Completions:*Choose One123456789*1011121314151617181920212223242526272829303132333435My Most Recent Year of Completion:*Choose One202120192018201720162015201420132012201120102009200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954Certify Qualification*I certify that the information entered is verifiable in the records of the sanctioning organization(s). I understand that is this information is found to be in substantial error, my Ride completion may be rescinded, and I may be barred from participating in the Western States Trail Ride in the future. I certify that the Statement of Qualification is verifiable.Junior Rider InformationRequired for riders under 18 years old on the day of the Ride. Both the junior and the sponsor must be qualified. Sponsors must be 21 years of age by the ride date.Name of Parent/Guardian (Parent/Guardian must CONSENT TO the Liability Release below)* First Last Sponsor's Name* First Last Junior Rider's Name* First Last Sponsor's Age*On date of the Ride.Please enter a number greater than or equal to 21.Sponsor Certification* I have read and understand the rules/guidelines related to sponsoring a Junior Rider in this event and certify that I am qualifired to act as this junior's sponsor.Acknowledgement of Risk & Release of LiabilityAcknowledgement of Risk and Release of Liability*WESTERN STATES TRAIL RIDE July 16, 2022 ACKNOWLEDGEMENT OF RISK AND RELEASE OF ALL LIABILITY 1. ACKNOWLEDGEMENT OF RISK: I am aware that the Western States 100 Mile Trail Ride is considered by many to be the most difficult and demanding endurance ride in the world and should only be attempted by riders who have ridden multiple endurance rides before attempting this one. The ride is difficult and hazardous for even experienced and well-conditioned horses and experienced healthy riders under the most favorable of conditions. I have been warned that I should not participate in this event unless: a) I have met the required qualifications and b) prior to Ride day I have ridden a horse in the dark. I represent by signing this ACKNOWLEDGMENT OF RISK AND RELEASE OF ALL LIABILITY that my horse and I meet or exceed these minimum experience requirements. I FURTHER RECOGNIZE AND ACKNOWLEDGE THAT THIS IS A RISKY SPORT AND I AM FULLY AWARE AND ACCEPT RESPONSIBILITY FOR ALL THE RISKS AND DANGERS INHERENT IN THIS ACTIVITY: Including, but not limited to risks associated with stabling and transporting horses and risks from natural conditions, including wildlife such as rattlesnakes, bears, and mountain lions, hazards caused by the negligence or incompetence of other riders or their failure to control their mounts, hazards of vehicular traffic, narrow precipitous trails in remote wilderness areas, risks of injury from falling, altitude sickness, overuse, fatigue, dehydration, getting lost, exposure to elements and falling rocks and trees. These are only some of the risks. I understand that there is no way for Ride Management to anticipate, identify, modify or eliminate all risks nor has Ride Management undertaken to do so. I further understand that if in fact my horse or I become injured or incapacitated, it may be difficult or impossible to get required medical or veterinary aid to me or my horse in time to avoid additional physical injury or even death. 2. ASSUMPTION OF RISK: With full awareness of the above stated risks and all risks not stated I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK of personal injury including permanent disability and death to myself and all risk of injury or loss to my horse sustained while participating in this event including the risk of passive or active negligence on the part of the released parties. 3. RELEASE OF LIABILITY: With full awareness of the above stated risks and all risks not stated and in consideration of my being allowed to participate in this event, I, on behalf of myself, my heirs, executors and administrators, and anyone claiming through me hereby FOREVER RELEASE AND DISCHARGE the Western States Trail Foundation and the Officers, Directors, and/or members, agents, and employees of each, and all medical, veterinarian and other personnel assisting with the event or any of them and any other person assisting with this riding event including any public or private land owners over whose property the Ride passes, their representatives, successors and assigns, FROM ANY AND ALL CLAIMS OF LIABILITY FOR DAMAGE FOR ANY AND ALL INJURIES TO ME, MY HORSE, OR PROPERTY, ARISING OUT OF OR IN CONNECTION WITH MY PARTICIPATION IN THIS EVENT. 4. AGREEMENT TO INDEMNIFY AND HOLD HARMLESS: In further consideration of being allowed to participate in this event, I agree that I WILL DEFEND, INDEMNIFY AND HOLD HARMLESS, the Western States Trail Foundation and the officers, directors, members, agents, of each, against all claims, demands and causes of action, including Court costs and attorney fees, directly or indirectly arising from any action or other proceeding brought by or prosecuted for my benefit contrary to this agreement. 5. CERTIFICATION OF ABILITY AND AGREEMENT TO ABIDE BY RIDE RULES: I certify that I have the necessary skills and ability to participate in the Western States 100 Mile Ride, and I acknowledge that I will read the 2021 Western States 100 Mile Rider’s Packet (sent electronically by email to each entrant and posted at teviscup.org), and I further agree to abide by all rules and instructions given to me either verbally or in writing by the Western States Trail Foundation. 6. MEDIA RELEASE: I hereby grant irrevocable permission to the Western States Trail Foundation, and any media covering the event, and the authorized agents, contractors and representatives of each, to use my name and likeness in any photographs, videotapes, motion pictures, recordings or any other records of my participation in this event for any purpose. 7. WAIVER OF RIGHTS: It is further understood and agreed that this event is a non-professional, amateur sporting event. It is conducted by an all volunteer board solely for the enjoyment of the participants, their friends, their families, and spectators. Any competitor who believes that he/she may have any direct or indirect financial interest in the outcome of the Ride; in his/her participation in the Ride; in his/her completion of the Ride; in his/her failure to complete the Ride; in his/her disqualification during the Ride or, as a result of sanctions imposed against him/her following the Ride for any reason whatsoever; hereby expressly and irrevocably waives his/her financial interest. Participants are expressly advised that, but for their agreement to this waiver provision, they or their agents or assigns may have various legal or equitable causes of action against various groups or individuals involved with the conduct of the Ride. In executing this paragraph of the ACKNOWLEDGEMENT OF RISK AND RELEASE OF ALL LIABILITY form, the participant expressly surrenders his/her right to seek monetary damages from any group or individual directly or indirectly involved with the conduct of the Ride and further agrees that any damages of any sort which otherwise might be alleged shall not exceed the liquidated sum of One Dollar ($1.00). The participant further waives his/ her rights under California Civil Code Section 1542 which states: "A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor." This waiver therefore applies to all potential claims for damage whether known or unknown, suspected or unsuspected. I ACKNOWLEDGE THAT I HAVE READ/UNDERSTAND AND I ACCEPT THE TERMS AND CONDITIONS STATED HEREIN AND I UNDERSTAND AND ACKNOWLEDGE THAT THIS AGREEMENT SHALL BE EFFECTIVE AND BINDING UPON ME AND ANYONE CLAIMING THROUGH ME AND EFFECTIVELY BARS MY RIGHT TO CLAIM DAMAGES OF ANY KIND INCLUDING INJURIES OR EVEN DEATH ARISING FROM MY PARTICIPATION IN THIS EVENT. I certify under penalty of perjury that I have provided true and complete information concerning my health and qualifications.Signature Required*Please sign in the dashed box below using your mouse, stylus, touchpad or touchscreen.Equine InformationWe encourage Riders to enter their intended Equine at the time of application. If you need to defer Equine Information at this time we allow it. A $25 Fee will be collected for equines ENTERED or CHANGED after July 1, 2022, including changes at Ride Check-in.*We encourage Riders to enter their intended Equine at the time of application. If you need to defer Equine Information at this time we allow it. A $25 Fee will be collected for equines ENTERED or CHANGED after July 1, 2022, including changes at Ride Check-in. I Will Submit My Equine Information Now TBD - I Will Submit My Equine Information by July 1, 2022. The form can be found on Entering The Ride. Equine Name* Nickname* Equine AERC No. As the Rider, do you own this equine? Yes No Owner's Name First Last Owner's Mailing Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Owner's Mobile Phone Number*Owner's Email Address* Enter Email Confirm Email Number of TEVIS Finishes for this equine*0 (Zero)1234*56789101112131415Gender (choose one)* Gelding Mare Stallion Breed*Select One:ArabianArabian XAhkal TekeAnglo ArabAppaloosaCanadianCurlyFriesianGradeIcelandicKentucky MtnMorganMorabMissouri Fox TrotterMuleMustangNational Show HorsePaintPaso FinoPeruvian PasoQuarterhorseQuarabRocky MtnSaddlebredSaddlebred XShagyaSpotted Saddle HorseStandardbredStandardbred XTennessee WalkerThoroughbredOtherIf your equine is a cross, please choose OTHER and list its breeds in the text box providedOther Breed: Color*Select One:GreyChestnutLiver ChestnutBayDark BayBlackPintoPalominoBuckskinDunChocolateGrullaBlue RoanRed RoanOveroSabinoOtherOther Color: Equine Birth Date*Equine must be a minimum of 72 months (6 years) old at time of ride.Must be before July 16, 2016 to qualify.71234567891011121612345678910111213141516171819202122232425262728293031201620232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Height in Hands*15:011:011:111:211:312:012:112:212:313:013:113:213:314:014:114:214:315:015:115:215:316:016:116:216:317:017:117:217:318:0Approximate Weight in Pounds (lbs)*Please enter a number from 500 to 3000.Stalls, RV and CampingStall Reservation: Reserve a Stall at the Fairgrounds. 25 stalls remaining Waiting List (Only if Stalls are Full) North Lot Reservation: Reserve North Lot Camping Spot 0 spots remaining Waiting List (Only if North Lot is Full) RV Hookup Reservation: Reserve RV Hookup Space (no horses) 0 spots remaining Waiting List (Only if RV spaces are Full) Waive Stall Reservation, North Lot Camping and RV Hookups.*I do not want to reserve a Stall at the Fairgrounds or a camping spot in the North Lot. I understand that I will need to make other accommodations. I want NEITHER Stall Reservation nor North Lot.Arrival Date for Stall Reservation*Choose a dateRace Day-Saturday, July 16 ($75 Thursday-Saturday)Friday, July 15 ($75 Thursday-Saturday)Thursday, July 14 ($75 Thursday-Saturday)Wednesday, July 13 ($105.00)Tuesday, July 12 ($135.00)Monday, July 11 ($165.00)Sunday, July 10 ($195.00)Saturday, July 9 ($225.00)Friday, July 8 ($255.00)Thursday, July 7 ($285.00)Wednesday, July 6 ($315.00)Tuesday, July 5 ($345.00)Monday, July 4 ($375.00)Sunday, July 3 ($400.00)If you plan to arrive before July 3rd or stay after July 17th, contact the Gold Country Fairgrounds. (530) 823-4533 Departure Date for Stall*Choose a dateRace Day-Saturday, July 16Sunday, July 17Monday, July 18 (+$30)If you plan to depart later than Sunday, call Gold Country Fairgrounds to secure your reservation. (503) 823-4533Arrival Date for North Lot Camping Reservation*Choose a dateRace Day-Saturday, July 16 ($90 Thurs-Sat.)Friday, July 15 ($90 Thurs-Sat.)Thursday, July 14 ($90 Thurs-Sat.)Wednesday, July 13 ($120.00)Tuesday, July 12 ($150.00)Monday, July 11 ($180.00)Sunday, July 10 ($210.00)Saturday, July 9 ($240.00)Friday, July 8 ($270.00)Thursday, July 7 ($300.00)Wednesday, July 6 ($330.00)Tuesday, July 5 ($360.00)Monday, July 4 ($390.00)Sunday, July 3 ($420.00)If you plan to arrive before July 3rd or stay after July 17th, contact the WSTF Office for further information. (530) 823-7282 150 Gum Lane Suite C, Auburn, CA 95603Departure Date for North Lot*Choose a dateRace Day-Saturday, July 16Sunday, July 17Monday, July 18 (+$30)Tuesday, July 19 (+$60)Wednesday, July 20 (+$90)Thursday, July 21 (+$120)Friday, July 22 (+$150)Arrival Date for RV Hookup Reservation*Choose a dateRace Day-Saturday, July 16 ($30)Friday, July 15 ($60)Thursday, July 14 ($90)Wednesday, July 13 ($120.00)Tuesday, July 12 ($150.00)Monday, July 11 ($180.00)You will be contacted by the Tevis Office via email to complete your RV Hookup Reservation. Payment will be collected when the Ride Entry Form is submitted.Departure Date for RV*Choose a dateSunday, July 17Monday, July 18 (+$30.00)Stall PreferenceThe number of stalls is limited. Reserved stalls are first come, first serve based on the following: 1. The order of receipt; 2. by stall preference. Request to be near another rider/horse will be based on the LATEST receipt date. Stall availability is designed to provide a service to the active participant and hes/her mount. (If you would like to be near a fellow rider/horse, sign up on the same day and as early as possible. IF NO PREFERENCE IS CHECKED ride management will make your stall assignment. PLEASE NOTE: Our contract with Gold Country Fairgrounds requires that you strip and clean your stall prior to vacating the premises.Stall Preference*Reserved stalls are first come, first serve. Refer to The MAP OF GOLD COUNTRY FAIRGROUNDS. Choose one. Reserved stall are first come, first served. MAP OF GOLD COUNTRY FAIRGROUNDS Barn 1 Barn 2 Barn 3 Barn 4 Barn C No Preference Equine Gender*Select One. Gelding Mare Stallion Specific Requests:Stall location or near other riders, etc.Signature Entry ReservationsYour Signature Entry includes (but is not limited to): Ride Entry; Completion Buckle; Tickets to the VIP dinner, Wednesday Barbeque, Friday Night Dinner, Sunday Awards Banquet; 4 Nights Stabling, a tax-deductible $800 Donation to WSTF, and other goodies.Arrival Date for Stall Reservation*Choose a dateSunday, July 17 (included)Race Day-Saturday, July 16 (included)Friday, July 15 (included)Thursday, July 14 (included)Wednesday, July 13 ($30.00)Tuesday, July 12 ($60.00)Monday, July 11 ($90.00)Sunday, July 10 ($120.00)Saturday, July 9 ($150.00)Friday, July 8 ($180.00)Thursday, July 7 ($210.00)Wednesday, July 6 ($240.00)Tuesday, July 5 ($270.00)Monday, July 4 ($300.00)Sunday, July 3 ($330.00)If you plan to arrive before July 3rd or stay after July 17th, contact the Gold Country Fairgrounds. (530) 823-4533Departure Date for Stall*Choose a dateRace Day-Saturday, July 16 (included)Sunday, July 17 (included)Monday, July 18If you plan to stay after July 18th, contact the Gold Country Fairgrounds. (530) 823-4533Arrival Date for North Lot Reservation*Choose a dateRace Day-Saturday, July 16 ($90 Thurs-Sat.)Friday, July 15 ($90 Thurs-Sat.)Thursday, July 14 ($90 Thurs-Sat.)Wednesday, July 13 ($120.00)Tuesday, July 12 ($150.00)Monday, July 11 ($180.00)Sunday, July 10 ($210.00)Saturday, July 9 ($240.00)Friday, July 8 ($270.00)Thursday, July 7 ($300.00)Wednesday, July 6 ($330.00)Tuesday, July 5 ($360.00)Monday, July 4 ($390.00)Sunday, July 3 ($420.00)If you plan to arrive before July 3rd or stay after the night of July 17th, contact the WSTF Office for further information. (530) 823-7282 150 Gum Lane Suite C, Auburn, CA 95603Departure Date for North Lot*Choose a dateRace Day-Saturday, July 16Sunday, July 17Monday, July 18 (+$30)Tuesday, July 19 (+$60)Wednesday, July 20 (+$90)Thursday, July 21 (+$120)Friday, July 22 (+$150)If you plan to stay after the night of July 17th, contact the WSTF Office to confirm your dates. (530) 823-7282 150 Gum Lane Suite C, Auburn, CA 95603Arrival Date for RV Hookup Reservation*Choose a dateRace Day-Saturday, July 16 ($30)Friday, July 15 ($60)Thursday, July 14 ($90)Wednesday, July 13 ($120.00)Tuesday, July 12 ($150.00)Monday, July 11 ($180.00)You will be contacted by the Tevis Office via email to complete your RV Hookup Reservation. Payment will be collected when the Ride Entry Form is submitted.Departure Date for RV Hookup*Choose a dateSunday, July 17Monday, July 18 (+$30.00)Stall PreferenceThe number of stalls is limited. Reserved stalls are first come, first served based on the following: 1. The order of receipt; 2. by stall preference. Request to be near another rider/horse will be based on the LATEST receipt date. Stall availability is designed to provide a service to the active participant and their mount. (If you would like to be near a fellow rider/horse, sign up on the same day and as early as possible. IF NO PREFERENCE IS CHECKED ride management will make your stall assignment. PLEASE NOTE: Our contract with Gold Country Fairgrounds requires that you strip and clean your stall prior to vacating the premises.Stall Preference*Reserved stalls are first come, first serve. Refer to The MAP OF GOLD COUNTRY FAIRGROUNDS. Choose one. Reserved stalls are first come, first served. MAP OF GOLD COUNTRY FAIRGROUNDS Barn 1 Barn 2 Barn 3 Barn 4 Barn C No Preference Equine Gender*Select One. Gelding Mare Stallion Specific Requests:Stall location or near other riders, etc.EMERGENCY INFORMATIONThis information is required for Emergency Purposes during Ride Week. The lodging location of the Rider and the names and mobile phone numbers of two emergency contacts (preferably on-site) in addition to the Rider.Lodging Location/Address for Rider and Crew:*First Emergency Contact* First Last First Emergency Contact Phone*Second Emergency Contact* First Last Second Emergency Contact Phone*Completion BuckleWould you like to purchase a TEVIS Completion Buckle Pre-Ride?Purchase a Tevis Buckle Pre-ride for $165 (non-refundable). Buckles are $250 when purchase post-ride. NO YES ($165) MealsTraditional Entry includes one ticket to the Sunday Awards banquet.Friday Night Dinner at Robie Park Price: $20.00 Quantity: Sunday Awards Banquet*One Sunday Awards Banquet Ticket Included in Entry Fee. Price: $25.00 Quantity: Additional Items - Signature Ride EntryYour Signature Entry includes (but is not limited to): Ride Entry; Completion Buckle; Tickets to the VIP dinner, Wednesday Barbeque, Friday Night Dinner, Sunday Awards Banquet; 4 Nights Stabling, a tax-deductible $800 Donation to WSTF, and other swag.Shirt Size - Select Your Size*Men's SmallMen's MediumMen's LargeMen's X-LargeMen's XX-LargeWomen's SmallWomen's MediumWomen's LargeWomen's X-LargeWomen's XX-LargeJacket Size - Select Your Size*Men's SmallMen's MediumMen's LargeMen's X-LargeMen's XX-LargeWomen's SmallWomen's MediumWomen's LargeWomen's X-LargeWomen's XX-LargeFriday Night Dinner at Robie Park*Two (2) Tickets Included in Signature Ride Entry. If you need more, please enter the additional number of tickets. Price: $20.00 Quantity: Sunday Awards Banquet*Two (2) Sunday Awards Banquet Ticket Included in Signature Ride Entry. If you need more, please enter the additional number of tickets. Price: $25.00 Quantity: Entry FeesHow will you pay?* Online Payment (Click Submit and you will be redirected to PayPal to pay using Debit/Credit or PayPal payment) Send a Check (Click Submit) AERC Membership Fee Price: Late Equine Entry (begins July 1st) Price: Late Registration Fee (after July 1st) Price: Signature Entry Price: Stall Reservation (SE) Price: North Lot Reservation (SE) Price: RV Hookup Reservation (SE) Price: Stalls after Sunday (SE) Price: North Lot after Sunday (SE) Price: RV after Sunday (SE) Price: Traditional Entry (TE) Price: Stall Reservation (TE) Price: North Lot Reservation (TE) Price: RV Hookup Reservation (TE) Price: Stalls after Sunday (TE) Price: North Lot after Sunday (TE) Price: RV after Sunday (TE) Price: First Time Junior Discount Price: Pre-Ride Buckle Purchase Price: Total PhoneThis field is for validation purposes and should be left unchanged.