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Medal Test Application
Online Application for Novice, Trot and Copper medals only
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Vaulter Last Name
*
Your answer
Vaulter First Name
*
Your answer
Vaulter Age
*
Your answer
AVA Member Number
*
Your answer
Club Name
*
Your answer
Email
*
Your answer
Mailing Address (for Medals )
*
Your answer
Date Medal Test
*
MM
/
DD
/
YYYY
Location of Medal Test
*
Your answer
Name of Judge hired
Your answer
Medal Test Requested
*
Walk Novice Pin to the left
Walk Novice Pin to the right
Trot Novice Pin to the left
Trot Novice Pin to the right
Canter Novice Pin to the left
Canter Novice Pin to the right
Trot Medal to the Left
Trot Medal to the Right
Copper Medal to the left
Copper Medal to the right
Required
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