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Registration: D3/C1/C2 Regional Test at Woodside Horse Park

The Cost is $55.00 per section.  Minimum amount due is $55.00 for HM only.

Two Sections Cost is $110.00 ( HM and Flat Certification)

Three Sections Cost is $165.00 (HM, Flat, and Jumping)

Traditional Certification is $165.00 ( 3 Tests)

**Total Registration cost is $55.00 if you are only taking HM or 1 section in a Certification.  Add $55.00 for each section you are taking.**

USER INFORMATION
Participant's First Name:
Participant's Last Name:
Best Email for Participant:
1
Pony Club or Riding Center:
1
Pony Club Region:
HM Rating:
1
Flat Rating:
1
Rating Over Fences:
1
Age as of Jan 1, 2016:
1
Club DC's Name:
1
Club DC's Email:
1
Club DC's Mailing Address:
1
Chaperone's Name:
1
Chaperone's Phone:
1
Chaperone's Email:
Emergency Contact:
1
Emergency Phone:
1
Certification Level :
1
HUNTER SEAT EQUITATION C-1 YES OR NO:
1
C-1 TRADITIONAL YES OR NO:
1
C-2 TRADITIONAL YES OR NO:
1
HUNTER SEAT EQUITATION C-2 YES OR NO:
1
C-1 FLAT TEST YES OR NO:
1
C-2 FLAT TEST YES OR NO:
1
C-1 HM YES OR NO:
1
C-2 HM YES OR NO:
1
C-1 DRESSAGE YES OR NO:
1
C-2 DRESSAGE YES OR NO:
1
Enter the Security Code:

Pony Club Disciplines

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