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2003 July - Dallas Dressage Club

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· At what level is your horse currently trained ___________________________________________________________<br />

· What are your short and long term goals for this horse<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

· You may submit a short video of yourself and the horse listed on the application. Riders submitting videos will receive<br />

priority in the selection process. Video will not be returned.<br />

Rider’s history has priority over horse’s history. Riders may apply with borrowed horses as long as the combination is<br />

receiving regular instruction and has a history together.<br />

The criteria listed above are meant to serve as guidelines for selecting riders for this program. Accordingly, USDF<br />

reserves the right to select riders most suitable for this program.<br />

£ If I am not selected to ride, I would like to audit.<br />

WAIVER OF LIABILITY<br />

I understand that by participating in the USDF Adult Clinics, I do so at my own risk and risk to the above-named horse.<br />

I understand that the United States <strong>Dressage</strong> Federation, Inc., staff, volunteers, the clinic instructor, the equestrian facility,or<br />

anyone acting on their behalf are not responsible for accidents, damage, injury or illness to the horses, riders, spectators,<br />

or any other person in connection with this clinic. By signing this form, I agree to abide by all USDF rules.<br />

___________________________________________________<br />

Rider's Signature<br />

___________________________________________________<br />

Horse Owner's Signature<br />

_________________________<br />

Date<br />

_________________________<br />

Date<br />

Please fill out this form and return it to USDF by the above date.<br />

Mail to: OR Fax to:<br />

USDF<br />

USDF<br />

Attn: Marsha McCleney<br />

Attn: Marsha McCleney<br />

220 Lexington Green Circle 859/971-7722<br />

Suite 510<br />

Lexington, KY 40503<br />

If you need additional information or have any questions, please contact Marsha McCleney at the USDF office, 859/271-<br />

7877, or mmccleney@usdf.org.

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