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C1 and C2 Certification Testing
Saturday October 17, 2020 at Horse Park at Woodside
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Email
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Your email
Candidate Information
Candidates name
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Your answer
Age of Candidate
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Your answer
Email of Candidate
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Your answer
Candidates Phone Number
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Your answer
Candidate Address
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Your answer
Chaperone information
Only need is under 18 years of age.
Chaperones Name
Your answer
Chaperones email adress
Your answer
Chaperones phone number
Your answer
Pony Club/ Riding Center information
Name of Club or Center
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Your answer
Name of Club or Centers DC
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Your answer
Email of DC
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Your answer
Testing information
Certification Fee, some multiple of $55. (checks payable to Mid Cal)
What test are you taking? (please select all that are appropriate)
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C1 HM ($55)
C2 HM ($55)
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Total payment amount to MidCal?
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