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Equestrian

Personal Information

First Name Last Name
Street Address
City State Zip
E-mail Address Home Phone
Height
Weight
Date of Birth (ex. 1999) 
Married No        Yes
Father's Name
Occupation
Mother's Name
Occupation

 


Scholastic Information

High School
School Phone
Graduation Date (ex. 1999) GPA Class Rank
SAT Math Verbal
ACT Math English Composite
College Course of Interest

(Any other College attended?) 
Name
City State Zip
GPA Hours Passed
Years of Eligibility Left
Will you need financial aid to attend Berry?

No Yes

Have you submitted the FAF (Financial Aid Form, available at your high school)? No Yes

Athletic Information

Riding Discipline(s)
Coach/Trainer
Coach/Trainer Contact Info
How many years have you ridden?

Describe your riding background (i.e. what kid of shows have you done, year-end awards, associations that you are a member of, etc.)

Have you competed in recognized shows (sanctified or affiliated with USEF, USAE, AQHA, USET, etc.)?
Have you competed in 'local' hunter/jumper shows? Yes No
If yes, How many equitation flat classes have you won?

If yes, How many equitation over fences classes have you won

at 2'6?

at 3'0?

at 3'3 or higher?

In what other division(s) (other than equitation) do you regularly compete?

Have you competed in recognized "A" hunter/jumper shows? Yes No
If yes, How many equitation flat classes have you won?

If yes, How many equitation over fences classes have you won

at 2'6?

at 3'0?

at 3'3 or higher?

Have you competed in USEF Medal classes, or equivalent 3'6 equitation classes and if so have you won?
In what division(s) (other than equitation) do you regularly compete?
Have you earned a pony club rating? Yes No
If so, what rating?
Have you competed in a recognized combined training event? Yes No
If so, at what level?
Have you competed in recognized competitions in any western division? Yes No

If so how many western horsemanship classes have you won?

Have you earned 26 or more points from any breed association in western classes excluding roping, games, halter, showmanship, or novice classes?

Have you competed in a nationally recognized qualifying competition, in a western division other than roping, games, halter, showmanship, or novice classes?

Coach's Email: mknight@berry.edu

  

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e-mail: jjohnson@berry.edu - phone: 706-236-2260

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