Inter-School Horse Show Lesson Verification Form * September – This completed form must be submitted for each rider. *January – This completed form must be re-submitted for each rider.
Riders must be taking lessons at least once per week from a qualified riding instructor.
LVF for Sept – Dec Shows Student’s Name:_______________________________________ Student phone #:______________________________________ Riding Facility:________________________________________ Riding Facility phone #:_________________________________ LVF for Jan – June Shows Print Form School:____________________________________ School Contact:_____________________________ Contact home phone #:______________________ Contact school phone #:______________________ TO BE FILLED OUT BY INSTRUCTOR Times per week is the student taking lessons: _____________ Riding level: (please circle one) NOVICE INTERMEDIATE ADVANCED In your opinion, is this rider able to control a horse at a walk/trot/canter and do a course of jumps? (Please circle one) Yes No At what height would you feel comfortable allowing this rider to jump? 18″ 2′ 2’3” 2’6” Instructor (Please Print): ________________________________________________ Instructor (Signature): __________________________________________________ Date: _____________________ TO BE FILLED OUT BY RIDER Horse Show Experience Has rider competed in the ISHS previously? (circle one) Yes If Yes, what level? __________________________________________ Circle all that apply: Medal classes Jumper Shows Rated shows Cross Country NCEL: Team_____ Dressage Maclay Medal Polo No Riding Experience: Schooling shows Pony Club: Level_____ Riding Skills: Understand Show Attire Walk Trot (sit/post) Canter Jump a single cross-rail Jump a Course Simple Lead Change Canter as group Understand Correct Striding Trot/Canter (w/o stirrup) Jump an Oxer Flying Lead Change Counter Canter Land a Lead Jump w/o Stirrups
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