TEAM Registration for 2022 Dressage or Show Jump Rally

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Please fill out one form per team (or partial team) per division.

Individual Competitors need only fill out the INDIVIDUAL form (organizer will place you on a team)

Questions about this event or form? Please contact Shelley Nevins via email snevins829@gmail.com, 262-370-8196 (call or text)

Team's Club/Center Affiliation *

Please check all clubs for this team if a scramble team

Big Bay

Birchwood

Blackhawk

Dune Riders

Fox Valley

Hillside Farm Riding Center

Kuenzi Equestrian Riding Center

Lake Hunt

Lake Superior

Lakefield

Misty Morning Farm Riding Center

Racine County

River Run

Run O' the Mill

Required

Name of person filling out this form? *

Phone # of person filling out this form? *

Email of Person filling out this form *

Affiliation to Team: *

How are you affiliated to the team?

Center Administrator

Coach

Competitor

District Commissioner (DC)

Other Club Officer

Parent

Team Name *

Team Coach Name: *

It is highly recommended that each team have a coach for Show Jumping Rally. If bringing a coach, please have them complete the online google coaching form.

Is this a full team? *

If you only have 1 rider, please do not submit this form, only fill out the INDIVIDUAL form and you will be placed on a scramble team. Teams with 3 or 4 riders MUST find their own stable manager.

yes--5 members (4 riders, 1 Stable Manager)

yes--3 riders + stable manager, we would prefer to not scramble

no--2-3 riders + stable manager, we need a third and/or fourth rider

no--2-3 riders, we need a stable manager and another one or two riders

Team Captain *

As preferred by District Commissioner or Center Administrator. Organizer has the right to assign captains on scramble teams

Team Stable Manager *

Teams with 3 or 4 riders are required to send a stable manager, but does not need to be from your club. If you are on a short team and need a stable manager, please put "in need"

Team Other Riders *

Please list the other riders on the team, not including the captain

Team Chaperone Form *

Please include name and a contact number

Special Needs or Notes?

Paperwork Checklist: *

Your team will not be considered signed up for rally until the following forms are received by the Rally Secretary on or postmarked by the closing date (See Guidebook). Please check the last box to indicate you read the list. Email all of the required paperwork to lsrrallypaperwork@gmail.com.

Completed Online INDIVIDUAL entries for each team member

Complete stall cards for each mount - email

Coggins for each mount (original must travel with mount) - email

Proof of vaccinations as listed in Guidebook - email

Coach form(s) - online google form

Emergency contact form - online google form

Club or Center check payable to Lake Shore Region Pony Club - mail or PayPal

Club / Center Payment Worksheet for Rally - mail or email if PayPal payment made

I have read and understand this checklist.

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