ct-and-dressage-entry-form

Dressage & Combined Test Entry Form

Rider Information (Required)

Rider

NCDCTA #

If not a member enter “N/A"

WDAA #

If not a member enter “N/A"

Address

Facebook or Instagram User Name

For Ride Times

City

State

Zip Code

Phone Number

Email

Rider D.O.B

mm/dd/yyyy

Emergency Information (Required)

Emergency Contact

Cell Phone

Horse Information (Required)

Horse

NCDCTA #

If not a member enter “N/A"

WDAA #

If not a member enter “N/A"

Coggins Expiration Date

mm/dd/yyyy

Veterinarian Name

Owner Information (Required)

Owner Name:

Owner NCDCTA #

If not a member enter “N/A"

Owner WDAA #

If not a member enter “N/A"

Dressage: Test Fee ($50 each)

Will you be riding Dressage?

Yes No

Select “Yes” and then begin adding your horse(s) in the section above titled: “Horse Information” if you haven’t already done so.

Division

Jr / YR Adult Amateur OPEN

Dressage or Western Dressage

Dressage TOC (up to 3 Tests) Western Dressage (up to 3 Tests)

Number of Tests ($50 each)

Test #1

Test #2

Test #3

Combined Test: Test Fee ($75 each)

Will you be riding in Combined Test?

Yes No

Select “Yes” and then begin adding your horse(s) in the section above titled: “Horse Information” if you haven’t already done so.

Division

Jr / YR Adult Amateur OPEN

Tadpole (5”) 2023 USDF Introductory Level Test A Green as Grass (18”) 2023 USDF Introductory Level Test A Starter (2’3”) 2022 USEA Starter Test Beginner Novice (2’7”) 2022 USEA Beginner Novice Test A Novice (2’11”) 2022 USEA Novice Test A Training (3’3”) 2022 USEA Training Test A

Additional Jumper Rounds: @ $30 each *

* Additional jumper rounds are UN-JUDGED.

Non-Compete & Sponsor (Optional)

Non-Compete

Guest Horse ($25)

Sponsor

Class Ribbons Awards

Sponsor Amount

Other Amount

Sponsor Name

Are you registering less than 3 days before the event?

Yes No

Comments or Special Request