Great Lakes Region C1 / C2 Testing Aug 24-26, 2018
First and Last Name
Members email address
Parents email address
Emily Nett Riding Center
Kalamazoo Valley II
Little Traverse Bay
Metamora Hunt II
I am in the following track for my pony club certifications:
Traditional / Eventing
Show Jumping / Hunt Seat Track
I will be TESTING at the Aug 24, 25, 26, - 2018 Great Lakes Region C1 / C2 testing. Please check the box that you will be testing.
Traditional (Eventing) C1 Horse Management, Flat and Jumping - ENTIRE test
Horse Management (HM) only C1
HM and Flat C1
Flat only C1
Jumping only C1 (show jumping and cross country)
C1 Flat and Jumping
Dressage speciality C1
Show jumping / Hunt Seat speciality C1
Western speciality C1
Traditional (Eventing) C2 Horse Management, Flat and Jumping - ENTIRE TEST
Horse Management and Flat only C2
Flat only C2
Jumping only C2 (show jumping and cross country)
C2 Flat and Jumping
Dressage Speciality C2
Show Jumping / Hunt Seat Speciality C2
Western Speciality C2
I am attending the testing on Aug 24,25,26 - 2018 Great Lakes Region C1 / C2 testing to RE-Test for the following
Horse Management (HM) re-test sections C1
Flat re-test sections C1
Jumping re-test C1
Horse Management (HM) re-test C2
Flat re-test C2
Jump re-test C2
No re-test needed
I have read over the ENTIRE test sheet or Standards of Proficiency or Checklist for my testing.
I don't know how to find the forms on the USPC site
I made a list of the EXTRA things I need to bring to this testing that are used during my HM portion of the test. Extra items such as: bandaging materials, DC letter, blankets, record book, longing equipment, etc.
I don't know how to find the extra things I need to bring to the testing
Not taking HM portion of test
I know the dressage test for my testing and will have it memorized
Not taking the flat portion of the testing
I know the jumping course that will be used for my testing and will have it memorized
Not taking the jumping portion of the testing
Name of horse I plan to use for this testing
Emergency Contact phone number
Is there anything you need to tell the organizers at this time? Examples: I only can attend Sunday or I will need to arrive Friday evening.
Please complete the liability form for Brookside Farms -
Printed, signed and sent in with check
Will bring to testing - forgot to send in with check
My $25 office fee to hold my spot for this testing is in the mail. Checks made to Great Lakes Region and send to Lisa McCormack 9411 English Oak Dr Clarkston MI 48348
Yes - it is in the mail
I will send it before the closing date of August 16th
My coggins for my horse will be sent....
I will send as an email to
I will mail the coggins with my $25 registration check
I am not bringing a horse to the testing
I understand that I will be required to make another payment that covers the tests I am taking and mileage/facility cost. The organizer will send the final amount for the testing by email.
Yes - I understand that I will need to make a final payment for my tests, mileage and facility costs
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service