Caitlin Ben Dror Scholarship Show Entry Form (Published on 03/24/2009)
Caitlin Ben-Dror Memorial Scholarship Application
By Margaret Hawkins
You are applying for a $3000 dressage scholarship awarded by the
Caitlin Ben-Dror Scholarship Fund to young riders that show at
fourth level and above. Funds are to be used for lessons,
shows or clinic expenses. To be eligible for this scholarship,
riders must meet these requirements:
- be between the ages of 12 and 21
- ride dressage as their primary discipline
- own their own horse or be in a full lease
- compete in national/international competitions
This scholarship is awarded by the Caitlin Ben-Dror Scholarship Fund
Applicant’s Name:_____________________________
Age______________
Applicant’s
Address:__________________________________
Horse’s Name _________________________
Age_____ Breed____________
Please answer the following: (use a separate piece of paper if necessary)
Top 3 scores from previous year and the show
you earned them at:
Clinics you have ridden at in the last
2 years:
Frequency of lessons:
What shows or clinics have you volunteered at in the last 3 years:
On a separate piece of paper, typewritten please, write 1 or 2 paragraphs in
response to ONE of these 3 questions.
1. You have just won the Prix St. George young rider class at Regional’s,
the press wants to interview you for
Dressage Today. What will you say?
2. Where do you see yourself in 5 or 10 years?
3. If you could give a 10 year old rider some advice on how
to get where you are in your horse career, what would it be?
Please provide a video of you riding at the level at which you
currently compete. Send the video and all paperwork to:
Return your application by 5-10-09 to:
Whispering Spring Farm
19403 Dutton Rd.
Stewartstown, PA 17363
committee with advice and guidance from USDF. The winners will receive
their awards no later than the summer of the scholarship year.
Winners will need to prepare a short note explaining what the scholarship means to
them that will be read during a special lunch time presentation at the
Caitlin Ben-Dror Memorial Scholarship Show held at her home farm in PA.
(Use one entry form per horse)
Rider Name:___________________________
Horse:________________________________
Rider Address:___________________________
__________________________________________
Telephone:____________Email:______________
Owners Name and Address:__________________
__________________________________________
Telephone:_____________Email:_____________
Class#_____Class Description___________________Level and Test# _____Payment______
Class#_____Class Description___________________Level and Test# _____Payment______
Class#_____Class Description___________________Level and Test# _____Payment______
Class#_____Class Description___________________Level and Test# _____Payment______
Class#_____Class Description___________________Level and Test# _____Payment______
TOTAL Payment Enclosed________
Dressage entries will be accepted only if complete with signature and
full payment of all fees. No phone entries accepted.
Make all checks payable to Caitlin Ben-Dror Memorial Scholarship Fund.
Release: In consideration of being able to participate in
this horse show, I hereby agree to release and hold harmless CBDMSF,
it's members, show management and show ground owners for any and all loss or damage
to my person, animal, property or equipment even if such damage is caused by carelessness,
negligence or gross negligence of CBDMSF, it's members, show management and grounds owners.
Signature (Parent or guardian if under 18)
_____________________________________________