Qualified scores, when reported on this Rider Achievement Award Report, will apply toward WNYDA Rider Achievement Awards. Print and copy form as needed. Please send copies of fronts of tests clearly showing judge's signature and test score. Return this form to the WNYDA Scorekeeper by October 8, 2011
PRINT, COMPLETE AND MAIL TO: WNYDA SCOREKEEPER
c/o Peggy Polisseni
1535 W. Bloomfield Road
Honeoye Falls, NY 14472
| Rider | |
| Street Address | |
| City, State, Zip | |
| Competition Name | |
| Competition Date |
LEVEL |
JUDGE(S) |
SCORE |
% |
Riders are responsible for notifying the WNYDA score keeper of their scores to be eligible for the WNYDA Rider Achievement Awards!