Dressage Show Riders Registration Form

Riders Registration Form

Saturday, September 19, 2020

Rider's Name*

First Last

Rider's Address*

Street Address Address Line 2 City State ZIP Code

Email*

Cell Phone*

Horse's name, breed and age

Visiting Horses: Trailering In With

(Name and Phone Number)

Coggins has been presented and is current?

Yes
No

Horse is current on shots?

Yes
No

Date of Last Shots

Health Certificate From Which State?

Health Certificate Current?

Yes
No

Certificate Issued By

Veterinarian's Name

Test Level Name and/or Letter*

Test Level Choice*

Practice Test Ride Only $15
Practice/Warmup Test Ride and Test $20

Remember ride times are assigned on a first come basis.

When you press the Submit button below, you will be taken to the PayPal website to complete your payment.

Our Judge is Ms. Trisha Hammer, Dressage & Combined Training Judge from Springboro, Ohio.

WHEN: Saturday, September 19, 2020 (subject to change, Coronavirus and Government policy)

WHERE: Riding With Rhythm, 59 E. Fairview Road, Williamstown, KY 41097; on the corner of E.467 and E. Fairview Road; set GPS to Knoxville Baptist Church on E. Fairview Road.

Start Time 10 AM; Riding With Rhythm students will ride in the morning.

Lunch Noon - 1 PM; Please bring your own.

Restart 1 PM; visiting riders will ride in the afternoon.

Tests are 10 minutes apart to allow ample time for judge's two minute commentary and tack change.

Practice scribes and auditors are always welcome!

Out of state riders MUST present negative Coggins test results and current health certificate.

Local KY riders must present negative Coggins test results and current shot record.

All documentation must be presented before horse/horses are unloaded. Present to Office.

Riders Registration Form

Saturday, September 19, 2020

When you press the Submit button below, you will be taken to the PayPal website to complete your payment.

We want to protect all horses from health hazards.

Call/Text Shirley: 859-907-4729