Walnut Creek Pony Club

Intent to Rate


Ratings Coordinator:

I would like to rate!  I am presently rated as a __________________, and

would like to rate to a ____________________.  Please schedule me for

the rating on ___________________________.  I understand I am responsible

for a portion of rating fees.

Sincerely,

_____________________________________________          ________________________________________
Pony Clubber                                            Date                    Name


_____________________________________________          ________________________________________
Parent                                                      Date                     Phone Number








I recommend that ____________________________________________ is ready to

rate to ____________________ level.

Signed:


___________________________________________________           
Pony Club Instructor                                         Date                      
 

___________________________________________________

District Commissioner                                        Date