BVDC TROT & TRACK RECORD     

Name                                                                

Address                                                                
Address                                                                
Address                                                                
Phone                                                                
Email                                                                

Horse/Pony Name:                                                 

Description: (Breed, age, height, color)                     
                                                                                             
                                                                                             
                                                                                             
Carriage Description:                                              
                                                                                             
                                                                                             

Instructions: Fill out your information below.  Achievement-hours will be recognized at 25, 50, 100, 250, 500, 750 and 1000 hours.  When you reach an achievement-hours goal, send a copy of this form to Betsy Ullrich - see membership directory for address.

Trot & Track Record

Date

Start/Stop Time

Total Time

Accumulated Time

Notes (special location, training, lesson, etc)