Manitoba Horse Council - Learn to Ride Rider Level Candidate Evaluation Form

Candidate Information

This form is to be completed by candidates who do not have a current NCCP coach/instructor that is able to evaluate their rider levels.

Additional items candidate must complete:

MHC liability waiver (Adult Waiver or Youth Waiver)
Administration fee of $30 per certificate issued for minors or $31.50 per certificate issued for adults, payment accepted upon completion of this form.

Once we receive the above we will contact you with a list of evaluators for you to contact.

You will receive a confirmation by email.

First name *

Last name *

MHC number *

Email *

Discipline to be evaluated in

Candidate's current rider level

Which rider level are you wishing to be evaluated for? *

Select the highest level in which you want to be evaluated at.

Administration Fee

Item

Minor Certificates to be issued*

Price

$30.00

Amount

$0.00

Adult Certificates to be issued*

$30.00

$0.00

Subtotal $0.00

I agree that by submitting this application, I am electronically signing the application. I, the undersigned, solemnly declare that the information I have provided is true to the best of my knowledge.

I have read and accept *

Please read and scroll to the bottom to accept.

Electronic signature

Please sign your name inside the box

A required field has not been filled.

Please accept all conditions.

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