Dressage Day 2025

Dressage Day Waiver Form 2025
Rider Details
Name:*

First NameLast Name
Date of Birth:*

DayMonthYear
Mobile Number:*
Please enter a valid phone number.
Address:*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Are you part of an Adult Riders Club?*

YesNo
If yes, which club?
Horse 1 Name:*
Is your horse OTT?*

YesNo
If yes, what is their passport number?
Horse 2 Name (if applicable):
Is your horse OTT?

YesNo
If yes, what is their passport number?
Emergency Contact Details
Emergency Contact Name:*

First NameLast Name
Relationship:*
Emergency Contact Phone Number:*
Please enter a valid phone number.