17th Annual Winery and Halloween Costume Ride

Back Country Horsemen of Washington

Saturday, Oct 27, 2018 – Camp -1890 Highland, Zillah WA Pre-registration is required for camping. Pre-registration must be postmarked by October 17th to get the early-

bird rate. Please print clearly with no more than one address per form. We must have all riders’ full names. Meals

and camping must be prepaid to guarantee your camp spot and meal. BCHW Use

Liability Rel Regis Rider#

Name _______________________________________ � sleeping vehicle** _________ #_____ #________

Name _______________________________________ � sleeping vehicle _________ #_____ #________

Name _______________________________________ � sleeping vehicle _________ #_____ #________

Name _______________________________________ � sleeping vehicle _________ #_____ #________

Name ________________________________________� sleeping vehicle _________ #_____ #________

Address ________________________________________City ______________ St______ Zip ___________

Phone _____________________________ Email _________________________________________

** Yes, I am bringing the sleeping vehicle for my group. We ask for your email so we can send you information about the ride. It will not be sold or given to anyone else.

Wine Ride - $25 per person before 10/17 - $35 after 10/18 #_____ $______

Child under 16 years accompanied by paid adult - $10 ea #_____ $______

Extra chance(s) prize tickets - $2 each #_____ $______

Dinner Saturday - $25 by 10/17 - $30 after 10/18 (if still available) #_____ $______

Friday Potato Feed - $8.00 by 10/17 - $10 after 10/18 #_____ $______

Camping - $15/spot/night (RV or trailer & tow vehicle) (LIMIT: 1 rig/site)

Enter # of camp spots needed for each night @ $15 ea FRI____ SAT___ #_____ $______

TOTAL DUE $______

Important dates, deadlines and information:

• Registrations not postmarked by 10/17 will be charged the higher price

• No refunds after October 17, 2018; Ride Registration may be made up to ride time.

• Check-in times: Friday (10/26) 12-7 pm and Saturday (10/27) 7 am – 11 am

• Liability Release must be signed by each rider.

• Costume Judging: Saturday 9:30 am – 11:00 am

• Last rider out 11:30 am on Saturday

• Wagon/cart route available (roads).

• Prizes must be claimed by 6:00 p.m. day of ride (Sat 10/27)

• “Armband Drawing” @ 6:00p.m. Saturday; return your armband to enter; $50 VISA Gift Card.

• If you have any questions, please email: bchwwineryride@gmail.com or call 360-832-2451

• Registration forms and flyers can be printed from the BCHW website: www.bchw.org

Mail completed registration form and payment, postmarked by 10/17 to:

BCHW Winery Ride, c/o PO Box 385, Graham WA 98338-0385

Method of payment: Check made out to “BCHW” ____ VISA _____ Master Card ____ Office Use

Credit Card #_________________________________________ Exp Date ___________ Postmark _________

Security Code on back of card ______ Check #___________

Name on Credit Card ______________________________________________________ Deposit Date ______

Address ________________________________________________________________ CC Chgd _________ (where credit card statement is mailed to you)

City ___________________________ State ________ Zip ______________