September 9 Dressage Show Registration Judge: Dressage Show Release – Sept 9, 2022 Line it Up Dressage Series September 9, 2022 Date Rider Name * Horse Name * Phone Number * Email * Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Rider Status * Jr( ≤21) AA (22-49) Open (Pro) Masters (50+) Choose Dressage Tests ($40/class) One must choose a minimum of one test. Additional tests are optional. Choose First Test * 1. Leadline Test A2. Leadline Test B3. USDF Intro TOC6. Training Level TOC9. First Level TOC12. Second Level TOC13. Third Level TOC14. Fourth Level TOC15. FEI TOC17. Western TOC19. USEA Eventing (2022 tests) TOC Choose Second Test 1. Leadline Test A2. Leadline Test B3. USDF Intro TOC6. Training Level TOC9. First Level TOC12. Second Level TOC13. Third Level TOC14. Fourth Level TOC15. FEI TOC17. Western TOC19. USEA Eventing (2022 tests) TOC Choose Third Test 1. Leadline Test A2. Leadline Test B3. USDF Intro TOC6. Training Level TOC9. First Level TOC12. Second Level TOC13. Third Level TOC14. Fourth Level TOC15. FEI TOC17. Western TOC19. USEA Eventing (2022 tests) TOC I’m a Line It Up member I’m riding a Line It Up horse ($30 fee) Comments/Requests (Please enter number of tests) * Parent/Guardian if rider is under 18 Emergency Contact Emergency Phone # Payment Type * Pay with Paypal Pay in Person Event Total: Includes $2 fee per class for online payments. You’ll be redirected to PayPal Event Total: Pay with cash, check or venmo the day of the show Release: I understand that horse sports may be hazardous and dangerous. I assume any and all risk of loss or injury to myself, my animals and equipment, other animals or persons, and agree to release from liability and to hold harmless Line it Up, LLC, all horse show personnel, and volunteers. Warning: Under Pennsylvania law an equine professional and equine activity sponsor is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities. I/We acknowledge that equine activities are a high-risk activity. In consideration of the acceptance of this entry, whether I am mounted or un-mounted, I release and in addition hold harmless Line it Up, LLC, it’s owners and agents, of and from any and all claims and demands of every kind which I may have or hereafter acquire for bodily injury, death, or property damage and from all liability for negligent acts or omissions. Covid-19 update: please do not come to the show if you have a temp. over 100.8 or have any Covid related Symptoms including sudden loss of smell. Competitor Signature(s) Signature of Competitor (Or Guardian if under 18) * signature keyboard Clear Date Signed If you are human, leave this field blank. Submit
