Midsummer WD and Dressage Schooling show 2025

Midsummer Open Schooling Show and Recognized Western Dressage Show entry form

Friday, July 11, 2025
Rider Name

First NameLast Name
Parent Name if rider is a minor

First NameLast Name
OpenAAJunior
If participating in the WDAA recognized show you must enter registration numbers for scores to count
Rider WDAA NUMBER
Rider AQHA number
Coach name and email if used
Owner name and email if different from rider
Horse Name

Name Coggins number
If participating in the WDAA recognized show you must enter registration numbers for scores to count
Horse WDAA number
Horse AQHA number
Email (ride times will be sent out this way so please fill out)
example@example.com
Trainer Email (if applicable)
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Intro AIntro BIntro CTraining 1Training 2Training 3First level test 1First level test 2First level test 3Second level TOC specify belowThird level and above TOC SPECIFY BELOWEventing Test of Choice SPECIFY BELOWEventing Test of Choice SPECIFY BELOW
TOC (please list all) :
WD intro 1WD into 2WD INTRO 3WD intro 4WD basic level test 1WD basic level test 2WD basic level test 3WD basic level test 4WD level 1 test 1WD level 1 test 2WD level 1 test 3WD level 1 test 4WD level 2-4 TOC please specify
WD TOC (please list all) :
Office fee $20(must select for each entry)AQHA participant FEE, only if riding for AQHA credit, add $8Grounds fee for unstable horses $20Day Stall $40Overnight stall $55shavings $10 per bag specify number belownon compete (must get show manger permission) $50
Stabling request/ group (please use the same name)
Number of shavings ($10)
Total $:
How will you be paying? Venmo or check
Payments must be made by closing date !!!
Coggins *REQUIRED

Cancelof
Flu/rhino within 6 months *REQUIRED

Cancelof
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mail checks to:

Midsummer Show,

10669 - 83 St. Court N., Stillwater, MN 55082

or VENMO @NLDS_WD_Schooling
ENTRY AGREEMENT: Under Minnesota Law, a livestock activity sponsor is not liable for injury to or the death of a participant
in livestock activity resulting from the inherent risk of livestock activities. MN 804A.12. In consideration for my participation in this
competition, I agree to the following: I am fully aware that horses and horse sports involve inherent risk of accident, including
broken bones, head injury, trauma, suffering or death (harm). I agree to indemnify WCAS, Nancy Porter LLC and Northern Lights
Dressage Shows and to hold them harmless in respect to any claims for harm caused by me or my horse at the competition.
Rider Signature

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Parent or Guardian if minor

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Coach signature

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Owner/ agent signature

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SignaturesFlu/rhinoNegative CogginsPayment
Should be Empty:

Midsummer Open Schooling Show and Recognized Western Dressage Show entry form