Mcta 2017 Year-End Awards Horse & Rider Registration

MCTA 2017 YEAR-END AWARDS HORSE & RIDER REGISTRATION (One form per horse/ rider combination, please.)

Rider: ______Date of birth if JR/ YR: ______MCTA Member? Y/ N

Phone: ______E-mail: ______

Horse: ______Mare/ Gelding/ Stallion Thoroughbred Y/N TIP Number: ______

Is horse in its first year of eventing competition (no events prior to 2017)? Y/ N

Is horse a homebred? (Ridden by breeder or immediate family member) Y/ N Breeder: ______

Horse Owner/ Lessee: ______MCTA Member? Y/ N (Horse must be owned or leased by an MCTA member in order to be eligible for Horse division awards)

Rider must complete 8 volunteer hours in 2017. (Attach completed volunteer form.)

Please indicate all levels at which horse/ rider combination competed in 3-phase Eventing competitions in 2017.

_____ Below Beginner Novice Level (jumps below 2'6 or 2'7) _____ Beginner Novice Level, recognized or unrecognized

_____ Novice Level, unrecognized _____ Novice Level, recognized

_____ Training Level, unrecognized _____ Training Level, recognized

_____ Preliminary, Intermediate or Advanced Levels, recognized

Is this rider also submitting points earned with another horse? List horses: ______

Will another rider also be submitting points earned with this horse? List riders: ______DUE BEFORE 12/1 TO JoAnne Offidani, 170 West Ridge Rd., Nottingham, PA 19362/ [email protected]/ 717-578-2903 2017 YEAR-END AWARDS HORSE & RIDER COMPETITION RECORD (One horse/ rider combination per form, please. Attach additional pages if needed.)

Rider: ______Horse: ______

Competitions: (Must be 3-phase eventing competitions in order to count. Please list Overall Place, not Junior or Amateur Place. )

Indicate Level as BBN, BN, N, T, M, P, I, or A Competitio Event Name Recognized or Event Date Overall Point Adjusted Points n Unrecognized? Place s (For 3-day, MCTA HTs Level etc.)

All forms are due by mail or email BEFORE 12/1 to JoAnne Offidani 170 West Ridge Rd., Nottingham, PA 19362/ [email protected] / 717-578-2903