EVENTING DRESSAGE YEAR END AWARD ENROLLMENT FORM
Rider Information
Name
*
Address
*
Phone
*
Email
*
example@example.com
Owner Information
Name
Address
Phone
Email
example@example.com
Horse's Name
*
Name as you would like it to appear on award (pick one: rider, owner, or horse)
*
Adult riders, please declare one and only one awards division:
*
Amateur
Open
Amateur Vintage (riders over 50 yrs)
Open Vintage (riders over 50 yrs
8 year and under
9 - 14 years
15 - 18 years
18 - 21 years
Dressage Level:
*
Please Select
Eventing Dressage Starter
Eventing Dressage Beginner Novice
Eventing Dressage Novice
Eventing Dressage Training
Eventing Dressage Modified
Eventing Dressage Preliminary
Eventing Dressage Intermediate
Eventing Dressage Advanced
Eventing Dressage FEI 1 to 5 star tests
Dressage Test 1: Name and Location of Show
*
Score (%):
*
Dressage Test No. 1 front and back
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Dressage Test 2: Name and Location of Show
*
Score (%):
*
Dressage Test No. 2 front and back
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Dressage Test 3: Name and Location of Show
*
Score (%):
*
Dressage Test No. 3 front and back
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Rider's Signature
*
Date
*
/
Month
/
Day
Year
Date
Guardian (If rider under 18)
Date
/
Month
/
Day
Year
Date
Owner's Signature
*
Date
*
/
Month
/
Day
Year
Date
CHECKLIST – BE SURE YOU HAVE INCLUDED THE FOLLOWING IN YOUR ENTRY
*
This completed form signed and dated by Rider and Owner.
$15 TREA award enrollment fee. Checks payable to TREA.
Full copies of THREE qualifying dressage tests. See full rules, page 3 for details.
My Products
*
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$15 TREA award enrollment fee.
$15 TREA award enrollment fee.
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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