Standard Dressage Rally TEAM ENTRY FORM - Deadline: Friday April 17, 2020
May 24, 2020
Name of Club
Your answer
Rider 1
First Name
Your answer
Last Name
Your answer
Horse Name
Your answer
Team Captain
Certifications are based on the certification level as of: April 17, 2020
Flat Certification
HM Certification
Year of Birth
Your answer
Qualifying
Qualifying Divisions
Non-Qualifying Division
Rider Email
Your answer
Rider Phone
Your answer
Parent Email
Your answer
Parent Phone
Your answer
If Catch rider, Club Name
Your answer
Rider 2
First Name
Your answer
Last Name
Your answer
Horse Name
Your answer
Team Captain
Certifications are based on the certification level of member as of: April 17, 2020
Flat Certification
HM Certification
Year of Birth
Your answer
Qualifying
Qualifying Divisions
Non-Qualifying Division
Rider Email
Your answer
Rider Phone
Your answer
Parent Email
Your answer
Parent Phone
Your answer
If Catch Rider, Club Name:
Your answer
Rider 3
First Name
Your answer
Last Name
Your answer
Horse Name
Your answer
Team Captain
Certifications are based on the certification level of the member as of: April 17, 2020
Flat Certification
HM Certification
Year of Birth
Your answer
Qualifying
Qualifying Divisions
Non-Qualifying Division
Rider Email
Your answer
Rider Phone
Your answer
Parent Email
Your answer
Parent Phone
Your answer
If Catch Rider, Club Name:
Your answer
Rider 4
First Name
Your answer
Last Name
Your answer
Horse Name
Your answer
Team Captain
Certifications are based on the certification level of the member as of: April 17, 2020
Flat Certification
HM Certification
Year of Birth
Your answer
Qualifying
Qualifying Divisions
Non-Qualifying Division
Rider Email
Your answer
Rider Phone
Your answer
Parent Email
Your answer
Parent Phone
Your answer
If Catch Rider , Club Name
Your answer
Stable Manager
First Name
Your answer
Last Name
Your answer
Team Captain
Certifications are based on the certification level of the member as of: April 17, 2020
HM Certification
Year of Birth
Your answer
Qualifying
Competitor Email
Your answer
Competitor Phone
Your answer
Parent Email
Your answer
Parent Phone
Your answer
If Catch Entry, Club name:
Your answer
Chaperone
Your answer
Cell Number
Your answer
Email
Your answer
Coach Forms will be collected at the Coaches meeting at the rally.
Coach
Your answer
Cell Number
Your answer
Email
Your answer
Notes
Your answer
FEES $175.00 per rider includes stabling (No fee for stable manager)
Select 1
Mail your Club Check payable to USPC Northwest Region to Megan Hartness 17831 SE Auburn Black Diamond Rd Auburn, WA 98092
Volunteer List
Each Club is expected to provide a minimum of three volunteers per team. Volunteers can be the same volunteer for all three spots but cannot be a competitor. Specific job assignments and time slots will be posted on the volunteer schedule at the volunteer Booth Saturday. Volunteers, please arrive for your assignment 0prior to noted start time for overview of duties. Cell phone numbers and email are very important for each volunteer
Name *
Your answer
Email *
Your answer
Cell Phone *
Your answer
Job Choices
If you have experience in a specific area, especially ring setup, gatekeeper, or warm up arena, please make a note below.
Job Notes
Your answer
Check Day and Time Availability
Name *
Your answer
Email *
Your answer
Cell Phone *
Your answer
Job Choices
If you have experience in a specific area, especially ring setup, gatekeeper, or warm up arena, please make a note below.
Job Notes
Your answer
Check Day and Time Availability
Name *
Your answer
Email *
Your answer
Cell Phone *
Your answer
Job Choices
If you have experience in a specific area, especially ring setup, gatekeeper, or warm up arena, please make a note below.
Job Notes
Your answer
Check Day and Time Availability
Name
Your answer
Email
Your answer
Cell Phone
Your answer
Job Choices
If you have experience in a specific area, especially ring setup, gatekeeper, or warm up arena, please make a note below.
Job Notes
Your answer
Check Day and Time Availability
Registration Check list, Your entry is complete when all of the following is completed and payment and signed Chaperone Forms are received. Payment can be made by check.
Entry completed by *
Your answer
Email *
Your answer
Phone *
Your answer
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