Intent to Certify/Rate

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Submission of this form indicates your member's intent to certify, also known as rate, in the upcoming certification/rating. If you are unsure that all of the qualifications have been met, please contact Meredith Philipps.

Email *

Members name (First and Last) *

Current Certification Level

Please complete each of the following charts according to the highest certification the member has achieved. Each Certification level is comprised of 3 parts: Horse Management, Flat, and Over Fences. It is not required to sit for all three parts at the same time so your rider may hold a different certification level for horse management than the riding portions.

Current Horse Management Certification Held *

Unrated

Not applicable

Eventing

Dressage

Unrated

Current Flat Certification Held *

Unrated

Not applicable

Eventing

Dressage

Unrated

Current Over Fences Certification Held *

Unrated

Not applicable

Eventing

Dressage

Unrated

Intent to Rate/Certify

Please indicate which rating/certification level the member would like to achieve.

Please select the track. *

Please select the level. *

Please select the desired component. Please note that the Horse Management section must be completed before the riding portions for any level. *

I have reviewed the Standards of Proficiency for the desired testing level. *

Yes

I do not know where to find these.

I have reviewed the Teaching Requirements for the desired testing level. *

Yes, I have met these requirements or teaching hours are not required for my desired rating level..

Yes, I need more teaching opportunities.

I do not know where to find these.

I have reviewed the Record Book Requirements for the desired testing level. *

Yes

I do not know where to find these.

Costs of Rating

D level is $25
C level is $40.
If you are testing more than one certification, the costs are cumulative. For example, completing D1 and D2 = $50.
If you are completing sections of a level, the costs are cumulative. For example, completing C1 jump and C2 HM = $80.
If you are completing only one or two sections of a certification level, the cost is the same as if you were completing the whole level.

Send me a copy of my responses.

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