EmailMeForm
VA Eventing @ Hillbrook CT & Dressage
March 15th, 2020
Rider Name
*
First
Last
Junior/Senior
*
Junior (14 & under)
Jr/YR (15 - 21yrs old)
Senior (22yrs +)
Open
Rider Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Rider Email
*
Rider Phone
*
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Rider USDF #
Owner Name (leave blank if same as rider)
First
Last
Owner Address
Street Address
City
State / Province / Region
Postal / Zip Code
Owner Phone
###
-
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Owner Email
Owner USDF #
Emergency Contact Information
*
First
Last
Relationship to rider
*
Best contact number for emergency contact
*
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Horse Name (*Must Match Name on Coggins)
*
Horse USDF #
Coggins Accession Number
Coggins expiration date
Upload Coggins
Combined Test Classes
Choose Class (Multiple Classes May Be Chosen)
Class 1: Tadpole (poles on the ground)
Class 2: Pre-Green (up to 12")
Class 3: Green (up to 18")
Class 4: Advanced Green (up to 2')
Class 5: Pre-Beginner Novice (up to 2'3")
Class 6: Beginner Novice (up to 2'7")
Class 7: Novice (up to 2'11")
Class 8: Training (up to 3'3")
Class 9: Modified or Prelim(up to 3'7")
Class 10: Show Jump Round Only
Show Jumping Round ONLY, please state which height(s) you would like to jump
Dressage Only Classes
Choose Class (Mulitple Classes May Be Chosen)
Class 11: USDF 2019 Intro A
Class 12: USDF 2019 Intro B
Class 13: USDF 2019 Intro C
Class 14: USEF 2019 Training Level, Test 1
Class 15: USEF 2019 Training Level, Test 2
Class 16: USEF 2019 Training Level, Test 3
Class 17: USEF 2019 First Level, Test 1
Class 18: USEF 2019 First Level, Test 2
Class 19: USEF 2019 First Level, Test 3
Class 20: USEF 2019 Second Level, Test 1
Class 21: USEF 2019 Second Level, Test 2
Class 22: USEF 2019 Second Level, Test 3
Class 23: USEF 2019 Third Level, Test 1
Class 24: USEF 2019 Third Level, Test 2
Class 25: USEF 2019 Third Level, Test 3
Class 26: USEF 2018 Beginner Novice Test A
Class 27: USEF 2018 Beginner Novice Test B
Class 28: USEF 2018 Novice Test A
Class 29: USEF 2018 Novice Test B
Class 30: USEF 2018 Training Test A
Class 31: USEF 2018 Training Test B
Class 32: WDAA Test Available
Total
$3.00