Ride Name: _______________________________   Distances Offered__________________

Ride Manager:  _____________________________   Ride Date(s):_____________________

Address: ____________________________________________________________________

Telephone: ___________________________        Email: _____________________________

Ride Location: _______________________________________________________________

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 10^th).  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 Tamra Schoech, 4050 Buck Smith Rd, Loganville, GA  30052 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 will be sent to you upon acceptance of this application free of charge.

Ride Manager’s Signature: _______________________________     Date: _______________

**Additional insurance certificates are needed for the following:

Name:_______________________________  Address: ______________________________