TERRY MARDELL MEMORIAL AWARD
The Terry Mardell Memorial Award is given to recognize the biggest improvement in scores for a horse and rider pair at a given level. Complete rules are on page 3. This award of a $100 gift certificate is generously sponsored by Elaine Shetler-Libent of Keller Williams Realty.
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
Jr/YR
LESSER DRESSAGE SCORE FROM LOWEST TEST OF LEVEL
Please include copy of test or USDF Scoresheet.
Dressage Level:
Please Select
Intro
Training
First
Second
Third
Fourth
PSG
FEI
Name and location of show:
*
Score
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GREATER DRESSAGE SCORE FROM HIGHEST TEST OF LEVEL
Please include copy of test or USDF Scoresheet
Name and location of show:
*
Score
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.
$25 TREA award enrollment fee. Checks payable to TREA.
Full copies of THREE qualifying dressage tests. See full rules, page 3 for details.
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$25 TREA award enrollment fee.
$25 TREA award enrollment fee (Terry Mardell Memorial Award).
$
25.00
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Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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the form.
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