Equestrian Questionnaire

Please fill out and submit the questionnaire below. The questionnaire will be submitted to Anita Bartgis, Equestrian Team Head Coach, Hood College, 401 Rosemont Avenue, Frederick, Md. 21701. Items marked with an asterisk (*) must be filled in.

Personal Information

First name:*
Last name:*
E-mail address:*
Phone:*
Address:*
City:*
State:*
ZIP:*
Date of birth:*
Graduation year:*
Parent/Guardian name(s):*
High school name:*
High school address:
High school city:*
High school state:*
High School ZIP:*
Coach:*
Coach's phone:*

Academic Information

Guidance counselor:*
Phone:*
Grade Point Average:*
P.S.A.T. Score Verbal:
P.S.A.T. Score Math:
S.A.T. Score Verbal:
S.A.T. Score Math :
Class Rank :
Anticipated college major:
Academic honors:
Individual athletic honors:
Team accomplishments :

Equestrian Information

Dressage (Riding):*
Dressage (Formal Lessons):*
Dressage (Competition Level):*
Eventing (Riding):*
Eventing (Formal Lessons):*
Eventing (Competition Level):*
Hunt Seat Flat (Riding):*
Hunt Seat Flat (Formal Lessons):*
Hunt Seat Flat (Showing):*
Jumping (Hunter/Jumper):*
Jumping (Formal Lessons):*
Jumping (Showing):*
Pony Club (Rating):*
Western (Riding):*
Western (Formal Lessons):*
Western (Showing):*
Trail Riding (Competitive):*
Fox Hunting (Riding):*
Fox Hunting (Recognized Hunt):*
Other:*