Equestrian Questionnaire

Please fill out and submit the questionnaire below. 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:*