RIDER AWARDS PERMISSION for NON-OWNERS ONLY

CURRENT AWS MEMBERSHIP REQUIRED

 

OWNER NAME ________________________________________________________________________________   

 

OWNER ADDRESS/CITY/ST/ZIP _________________________________________________________________

 

PHONE _______________________­­­­­­­­­­­­­­­­­­­­­­­_______________________   FAX ________________________________­­___

 

EMAIL ________________________________________________________________________________________

 

 

HORSE REGISTERED NAME ___________________________________________________________________   

 

AWS REGISTRATION #________________________________   COMPETITION YEAR ___________________

 

USEF # _________________________  USDF # _______________________ USEA # _______________________

 

 

NAME OF non-OWNER RIDER  __________________________________________________________________                                     

JUNIOR/YOUNG RIDER?             __________ YES               __________ NO

RIDER ADDRESS/CITY/ST/ZIP_________________________________________________________________________

                                    

EMAIL ________________________________________________    PHONE______________________________

 

 

I understand that the year end awards will be sent directly to the Owner named above, unless the AWS is notified otherwise.

 

 

OWNER

SIGNATURE __________________________________________________________    DATE ___________________________________

 

 

 

 

 

 

 

1-15-06