TAP Program Declaration Page 2

Team Name
Please select one individual as the main contact for your team. Designated Team Leader:
Designated Team Leader
List of Team Members

Please fill out one form for each team that a rider is on. An email will be sent out to confirm team members participation in the TAP program. Teams can have 4 team members and 2 alternates.
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Rider Name
Horse Name
Email
example@example.com
Phone
Rider DOB
Horse Age
Horse Breed
Please declare one (Professional, Amateur. Jr/YR. or Vintage Rider):
List all disciplines
Rider Name
Horse Name
Email
example@example.com
Phone
Rider DOB
Horse Age
Horse Breed
Please declare one (Professional, Amateur, Jr/YR. or Vintage Rider):
List all disciplines
Rider Name
Horse Name
Email
example@example.com
Phone
Rider DOB
Horse Age
Horse Breed
Please declare one (Professional, Amateur, Jr/YR. or Vintage Rider):
List all disciplines
Rider Name
Horse Name
Email
example@example.com
Phone
Rider DOB
Horse Age
Please declare one (Professional, Amateur, Jr/YR or Vintage Rider):
Horse Breed
List all disciplines
Alternates

(can have up to 2 alternatives)
Rider Name
Horse Name
Email
example@example.com
Phone
Rider DOB
Horse Age
Horse Breed
Please declare one (Professional, Amateur, Jr/YR. or Vintage Rider):
List all disciplines
Rider Name
Horse Name
Email
example@example.com
Phone
Rider DOB
Horse Age
Horse Breed
Please declare one (Professional. Amateur, Jr/YR. or Vintage Rider):
List all disciplines
Click Submit to submit the form.

Alternatively, riders can just download document and send the form to TAP organizer, Ingrid McNamara.

Phone: (412) 206-9307 Email: threeriverstap2@gmail.com

Address: 1485 4th Ave, Freedom, PA 15042
Should be Empty:

List of Team Members

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Alternates