Entry Form D - Working Equitation                       USLF Lipizzan Laurels Program
Owners and 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 *
Horse's Name *
USLF Registration Number
Rider's Name
If not the Owner of the Lipizzan
What division are you/the rider?
Clear selection
If a Junior (17 years old or under), Age of Junior Exhibitor as of December 1st of the current competition year
Event and Class Information
Name of Event *
Date of Event *
MM
/
DD
/
YYYY
Sanctioning Body *
Level *
Dressage Judge *
Dressage Score *
Ease of Handling Score *
Speed Penalty Points *
Speed Time
_________________________________EVENT #2_____________________________
Name of Event
Date of Event
MM
/
DD
/
YYYY
Sanctioning Body
Clear selection
Level
Dressage Judge
Dressage Score
Ease of Handling Score
Speed Penalty Points
Speed Time
__________________________________EVENT #3_____________________________
Name of Event
Date of Event
MM
/
DD
/
YYYY
Sanctioning Body
Clear selection
Level
Dressage Judge
Dressage Score
Ease of Handling Score
Speed Penalty Points
Speed Time
_______________________________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!
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If you have attended several events please submit multiple forms.
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