ONLINE ENTRY FORM

AQHA HORSE REGISTRATION #

WDAA HORSE ID#

Class 3

TOTAL CLASS FEES @25.00 PER CLASS

IF YOU ARE A WESTERN DRESSAGE ASSOCIATION OF AMERICA MEMBER( WDAA) CHECK YES HERE

YES

AQHA INDIVIDUAL MEMBER#

CLASS 2

BREED

Comments

OFFICE FEE (THIS BOX MUST BE CHECKED OR THE FORM CANNOT BE SUBMITTED) *

10.00

WDAA Member #

HORSE'S REGISTERED NAME

DRESSAGE SEAT EQUITATION CLASS

RIDERS STATUS

OPEN

AMATUER

YOUTH

LIABILITY WAIVER

I AGREE

I certify that I agree to abide by the PDNDS Schooling Show Cancelation Policy as follows---- No refunds after closing date or for weather or safety issues that require management to cancel classes or day(s) of competition. If the show is cancelled due to weather or safety issues, management will automatically apply the class entry fee(s) towards a subsequent PDNDS schooling show in the same calendar year. Otherwise, upon written request by the competitor to the show secretary, class entry fees will be refunded. To accommodate for work done by the show secretary and facility, office and facility fees are not refundable or usable for future shows.----------------------------------------------I agree to enter this schooling show at my own risk and subject to the conditions of the Paso del Norte Dressage Society. I understand that the officers and members of PdNDS, the property owner/manager and all others associated with this activity assume no responsibilities for accidents, damage, injury or illness to the horses, owners, riders, employees, attendants, spectators, or any other person or property in connection with this show. As indicated by my signature below, I hereby release the property owner, and representatives, sponsor, their officers, members and or co-sponsors of this show from any claim or right for damages which may occur to me, my property, those persons accompanying me, or my horse. I also assume and accept full responsibility for any damages done by me, my minor child, those accompanying me, or my horse at this show I agree to be bound by all applicable PDNDS rules and all terms and provisions of this entry form and all terms and provisions of the prize list. I am signing and submitting this agreement electronically. I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand. I certify that I am over 18, or that the electronic signature below is that of the parent or legal guardian of the minor competitor. ----------------------------------------------------------------------------------- IF THE "I AGREE" BUTTON IS NOT SELECTED AND YOUR NAME ( OR LEGAL GUARDIAN'S NAME IF COMPETITOR IS UNDER 18) IS NOT PRINTED BELOW YOUR ENTRY WILL NOT BE ACCEPTED PRINTED NAME: *

Phone

HORSE NAME

OWNER NAME

OWNER IS A PDNDS MEMBER?

YES

NO

CLASS 1

TOC NAME FOR CLASS 1 (IF APPLICABLE)

TOC NAME FOR CLASS 3 (IF APPLICABLE)

TOC NAME FOR CLASS 2 (IF APPLICABLE)

RIDERS STATUS

OPEN (22 AND OVER)

JUNIOR/ YOUNG RIDER (21 AND UNDER)

NUMBER OF CLASSES ENTERED

1

2

3

SCHOOLING ONLY HORSE FEE

NONE

$10.00

NON MEMBER FEE

NONE

$10.00

LATE FEE( IF ENTRY IS RECEIVED AFTER CLOSING DATE)

NONE

$10.00

TOTAL AMOUNT TO BE PAID (THIS BOX MUST ME FILLED IN OR THE FORM CANNOT BE SUBMITTED) *

Email:

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RIDER'S NAME

SHOW DATE

PDNDS MEMBERSHIP

PDNDS MEMBER YES

PDNDS MEMBER NO ($10 NON MEMBER FEE APPLIES)

STREET

CITY

STATE AND ZIP

PASO DEL NORTE DRESSAGE SOCIETY

PDNDS SCHOOLING SHOW ONLINE ENTRY FORM

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​PDNDS SCHOOLING SHOW ONLINE ENTRY FORM

PASO DEL NORTE DRESSAGE SOCIETY

PDNDS SCHOOLING SHOW ONLINE ENTRY FORM