Ride
Name: ____________________________________
Distances Offered :________________
Ride
Manager: __________________________________
Address:
________________________________________
Ride
Date(s): _____________________________________________
Telephone:
__________________
Ride
Location: _________________________________________
Email:
_______________________________________
I
wish to sanction my ride with the Southeast Endurance Riders Association. I
understand that application must be received in time for notification of the
sanctioning to be made in the SERA newsletter (printed the first week and
mailed the 10th). I further understand that I must be a member of SERA, that I
must provide a minimum of 2 veterinarians for the ride, and all junior riders
must be at least 8 years old and wear a helmet.
I
will send the ride results plus a sanctioning fee of $2.00 per starting rider
to SERA, c/o Alison Bailey, 9205 Simpson Road, Waxhaw, NC 28173 within 60 days
of the ride or December 1, whichever comes first. Failure to do so will result
in a $200 fine.
Note:
Insurance coverage is automatically provided to SERA sanctioned rides. Proof of
insurance and/or additional certificates of insurance should be requested at
the time of ride sanction application submittal**. A set of SERA membership
mailing labels or member email addresses will be sent to you upon acceptance of
this application if you request it.
Ride
Manager’s Signature: ______________________________ Date: ________________
**Additional
insurance certificates are needed for the following:
Name:
________________________________________________________
Address:
______________________________________________________
Name:
_________________________________________________________
Address:
_______________________________________________________
Name:
_________________________________________________________
Address:
_______________________________________________________
Names
of Veteranarians:
Return
sanction form to Laurie Underwood via email at laurieunderwood@cobridge.tv or
snail
mail to 934 Cannock Street, Grovetown, GA 30813