RIDER NAME:

 

 

DOB:

 

RIDER #:

Address:

Rider History Rider History

City, State, Zip

 

Phone #:

 

Email:

Years riding games:

Ranking you wish to achieve:

Riding experience (years riding horses etc.):

 

Games competitions (list pony’s name and name of competition):

 

 

 

Are you interested in riding on International USMGA Teams or do you just want to be ranked?

Yes I’m interested in International competions

NO-I just liked to be ranked

What sort of competions would you like to ride in? (Circle one)

LOCAL

OVERSEAS

INTERNATIONAL

REGIONAL

NATIONAL (against  North American Teams)

U.S. COMPETIONS

Other:

Would you be willing to travel to practice with team members?

YES

NO

How far are you willing to travel to practice?(In miles)

 

How many times can you practice on a team? (Circle one)

1 times per month

Every other month

Not at all

As much as needed

2 times a week

Other:

How much do you practice on your own?

 

What is your best games skill

 

Why do you feel you are a great representative of USMGA: