Entry Form E - RECOGNIZED Dressage & Western Dressage   USLF Lipizzan Laurels Program
NOTE: This form is for RECOGNIZED shows only! Schooling shows should be reported on Form G
Owners & Riders must be current USLF members at the time scores are earned.
USLF may require additional verification on individual events
(i.e.; copy of class list or show website, etc.).  
Deadline for receipt at the USLF Office: October 31
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Owner's Name *
e-mail Address for questions, award info, or follow-up
Mailing Address to send awards
Horse's Name *
USLF Registration No.:
Rider's Name
If not the Owner of the Lipizzan
What division are you/the rider? *
If a Junior (17 years old or under), what is the Age of the Junior Exhibitor as of December 1st of the current competition year
____________________ Score Submission ____________________
Please submit your top 5 scores for each Level for year end awards.
At least 1 score must be from the highest test of the level.
Must be from at least 3 different competitions.
Must be from at least 3 different judges.
No more than 2 consecutive levels may be submitted for awards per year. 
Please submit one form for each level (example: send all third level scores on one form and all second level freestyle scores on a second form)
____________________ TEST #1  ____________________
Name of Event *
Date of Event *
MM
/
DD
/
YYYY
Sanctioning Body *
Class Type *
Please select the appropriate Class Type for Dressage or Western Dressage
Test (or level of Freestyle) *
Judge *
Score *
____________________ TEST #2  ____________________
Name of Event
Date of Event
MM
/
DD
/
YYYY
Sanctioning Body
Clear selection
Class Type
Please select the appropriate Class Type for Dressage or Western Dressage
Test (or level of Freestyle)
Judge
Score
____________________ TEST #3  ____________________
Name of Event
Date of Event
MM
/
DD
/
YYYY
Sanctioning Body
Clear selection
Class Type
Please select the appropriate Class Type for Dressage or Western Dressage
Test (or level of Freestyle)
Judge
Score
____________________ TEST #4  ____________________
Name of Event
Date of Event
MM
/
DD
/
YYYY
Sanctioning Body
Clear selection
Class Type
Please select the appropriate Class Type for Dressage or Western Dressage
Test (or level of Freestyle)
Judge
Score
____________________ TEST #5  ____________________
Name of Event
Date of Event
MM
/
DD
/
YYYY
Sanctioning Body
Clear selection
Class Type
Please select the appropriate Class Type for Dressage or Western Dressage
Test (or level of Freestyle)
Judge
Score
_______________________________THANK YOU___________________________
Mailing Address
If your Mailing Address has changed since you completed your yearly Awards Registration Form, please indicate the mailing address to which any earned awards should be sent. Thank you!
Need more space?
Only 5 scores are required for year end awards. However, if you would like to submit additional scores for lifetime awards or multiple levels, please submit multiple forms.
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