ORUSPC QUALIFYING DRESSAGE RALLY - TEAM ENTRY FORM - Event Date: April 20-22
Dressage Team Worksheet (one per team). Entry deadline: April 5th, 2017. Changes to entries made after April 5th will only be made in emergency situations.
Name of Club/Team:
Your answer
Rider 1 Information:
Name
Your answer
Year of Birth
Your answer
Horse Name (as should appear in program)
Your answer
Contact Email
Your answer
Contact Phone number
Your answer
Team Captain:
Riding Certification (as of April 4, 2017)
Your answer
HM Certification (as of April 4, 2017)
Your answer
Qualifying for Champs?
Test Group (See rally invitation for descriptions)
Musical?
If Catch Rider, Name of Club
Your answer
Rider 2 Information:
Name
Your answer
Year of Birth
Your answer
Horse Name (as should appear in program)
Your answer
Contact Email
Your answer
Contact Phone number
Your answer
Team Captain:
Riding Certification (as of April 4, 2017)
Your answer
HM Certification (as of April 4, 2017)
Your answer
Qualifying for Champs?
Test Group (See rally invitation for descriptions)
Musical?
If Catch Rider, Name of Club
Your answer
Rider 3 Information:
Name
Your answer
Year of Birth
Your answer
Horse Name (as should appear in program)
Your answer
Contact Email
Your answer
Contact Phone number
Your answer
Team Captain:
Riding Certification (as of April 4, 2017)
Your answer
HM Certification (as of April 4, 2017)
Your answer
Qualifying for Champs?
Test Group (See rally invitation for descriptions)
Musical?
If Catch Rider, Name of Club
Your answer
Rider 4 Information:
Name
Your answer
Year of Birth
Your answer
Horse Name (as should appear in program)
Your answer
Contact Email
Your answer
Contact Phone number
Your answer
Team Captain:
Riding Certification (as of April 4, 2017)
Your answer
HM Certification (as of April 4, 2017)
Your answer
Qualifying for Champs?
Test Group (See rally invitation for descriptions)
Musical?
If Catch Rider, Name of Club
Your answer
Stable Manager Information
Name
Your answer
Team Captain?
Riding Certification (As of April 4, 2017)
Your answer
HM Certification (As of April 4, 2017)
Your answer
Qualifying for Champs?
Contact Email
Your answer
Contact Phone
Your answer
Junior Stable Manager Information (if applicable)
Jr SM guidelines: 11 years or younger, should be first rally, UR/D1 certification, parent or guardian must be on site at all times when the Jr SM is at the rally, Jr SM does not have to spend the entire rally in the barns, must be placed with own club’s team (or majority of team, including SM), Jr SM must follow all rules as would apply to any competitor, including appropriate footwear, and medical armband or bracelet, per HM and Discipline Rulebooks, Jr SMs will wear a special pinney when in the barns, designating them as such, DC must agree that Jr SM and the team will be a good fit to facilitate a positive rally experience for all
Name
Your answer
Current Age
Your answer
Certification
Your answer
On Site Parent Name
Your answer
Contact Email
Your answer
Contact Phone
Your answer
Chaperone
Each team is required to have a chaperone. The chaperone must be onsite at all times that the team is onsite.
In the case of a catch team, you may have multiple chaperones by club but this is not required. One chaperone per team is adequate.
Name
Your answer
Email
Your answer
Phone
Your answer
Coach (Not required)
Coaches forms will be collected at the coaches meeting at the rally
Name
Your answer
Contact Email
Your answer
Volunteer Information
Each team is required to provide two volunteers per day - Friday, Saturday and Sunday.
Volunteers can cover more than one day.
Volunteers will be emailed a link to signup online for the specific shift/job they are interested in covering during the day.
Friday Volunteer #1 Name
Your answer
Email
Your answer
Friday Volunteer #2 Name
Your answer
Email
Your answer
Saturday Volunteer #1 Name
Your answer
Email
Your answer
Saturday Volunteer #2 Name
Your answer
Email
Your answer
Sunday Volunteer #1 Name
Your answer
Email
Your answer
Sunday Volunteer #2 Name
Your answer
Email
Your answer
Payment
Please submit $175 per rider. Four riders = $700, Three riders = $525
Payment can be made via PayPal through the region website. If using PayPal please add a note indicating the team name.
You may also send a check to ORUSPC, c/o Elena Frank, 7832 SW Skyhar Drive, Portland, OR 97223
Method of payment
Please enter total amount being paid for catch rider or team
Your answer
If you have any questions please leave them here and a rally organizer will contact you promptly
Your answer
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