ONLINE ENTRY FORM:

Date

YYYY

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dresage BC # (same as HCBC)

Name of your Horse

Email Address

Phone

(###)

###

####

Date of Birth

Division Entered (the year in which you turn)

CHILDREN less than 13 years of age

YOUTH 13-17 years of age

ADULT AMATEUR 18-49 years of age

SENIOR 50+ years of age

OPEN DIVISION

#1 Name of Competition, Test ridden/result, name of judge

#2 Name of Competition, Test ridden/result, name of judge

#3 Name of Competition, Test ridden/result, name of judge

Average Score

(Average score of the 3 tests submitted)

Name of main Coach

Hose Blanket Size

Additional Comments

**Please ensure all information is correct. Results will be verified after application deadline.

Dressage Award Application