Letter of Intent to Certify

Carbon River Pony Club
Letter of Intent for Rating
THIS LETTER OF INTENT IS TO BE COMPLETED
2 MONTHS (60 days) PRIOR TO THE RATING,
All Fees associated with the Rating must me Turned in with this completed Form.
If this is not done 2 months (60 days) prior to the rating, you will not rate.
It is understood that the member rating must have all flow sheets completed, and receive
signatures below. It is the responsibility of the member to have form completed prior to the
deadline date.
Today’s date__________________________
I, ___________________________________________ (CRPC member),
will be “Rating ” on the ___________________ (rating date).
I am currently rated ____________ and will be rating to_____________ on my
horse, ____________________ (name of mount), age, __________(horses age).
Signatures:______________________________________________ (CRPC member)
_________________________________________________(Parent)
Approvals:
Flow Sheet:(Instructor) ________________________Date:___________
Rating Coordinator:___________________________Date:___________
Treasurer:___________________________________Date:___________
DC:________________________________________Date:___________
Payment Amount Received:___________________________________