Show Recognition Submission Form ⋆ WDAA Horse Lifetime Points and Awards Program

Show Name*

Start Date*

End Date*

Show Type*

One type per line - (i.e. USEF Recognized, Breed Association, Schooling Show, Online Show, etc. – Please list all that apply.)

Show Venue or Facility*

Show Venue or Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Show's Website URL (please include http://)*

File Upload(s)

Drop files here or

Accepted file types: pdf, docx, doc, Max. file size: 600 MB, Max. files: 10.

Please upload copy of show bill or Class/Prize list. MUST BE A PDF or WORD DOC (.DOCX) FILE! Max allowed file size: 512 MB. For large files, submit a single page in this field and email full prize list to Kathy@westerndressageassociation.org

Name of Judge(s)*

If more than one, please separate their names with a "," (comma),

Judge(s) WDAA Membership Number(s)*

If you do not know the judge's WDAA membership number, please enter "ON FILE". We are unable to provide membership numbers in our directories.

Show Manager/Contact*

First Last

Show Manager/Contact Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Show Manager/Contact Phone*

Show Manager/Contact Email Address*

Important Designated Person or Steward Information:

Show management must appoint a knowledgeable person to serve as the “designated person” to check and inspect tack in each class. This person will be responsible for overseeing the checking of tack, bits, etc. outside of the ring immediately following the completion of the test. A horse must be eliminated from the test just completed if the tack is in violation of the USEF Western Dressage Rules.

Designated Person/Steward*

First Last

Designated Person/Steward Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Designated Person/Steward Phone*

Designated Person/Steward Email Address*

Disclaimer*

Yes, I agree

By checking this box, you agree the information contained in this submission is accurate, and you have read and agree to abide by the USEF Western Dressage Rules and the WDAA Horse & Show Recognition Program.

Digital Signature*

By typing your Full Name (person filling out this form) in the box, you are digitally signing this agreement.

Date of Signature*

Payment Options*

Payscape/Credit Card
Check or Money Order
For WDAA Staff Only

Show Recognition Fee

Price:

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

FOR WDAA ADMIN ONLY

Check "Yes" if you are a WDAA Staff person filling out this form.

Yes
No

Payment Check Number

If you selected "Payscape/Credit Card", upon clicking SUBMIT, you will be required to provide credit card information and billing address to complete the payment.

If you selected "Check or Money Order", upon clicking SUBMIT, a confirmation screen displays with mailing address information. Your form will be submitted.

You will also receive a confirmation email and if you have any questions or comments, please reply through the confirmation email.

Name

This field is for validation purposes and should be left unchanged.

Show Recognition Submission Form

Important Designated Person or Steward Information:

FOR WDAA ADMIN ONLY

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