SECTION 2. Qualifications QUALIFICATIONS & DATES ACHIEVED WHAT IS THE HIGHEST LEVEL YOU COACH FOR? All levels E / D Test D+ / C Test C+ Test B Test B+ / AH / A Test PREFERRED DISCIPLINE/S General / All Dressage Endurance Eventing Games Polocrosse Polo Pony Racing SJ Tetrathlon WHAT IS THE HIGHEST LEVEL OF PONY CLUB TESTS YOU ASSESS FOR? I’m not an assessor E D D+ C C+ B B+ AH A ASSESSOR TRAINING ATTENDED and date/s taken: CPD COURSES ATTENDED Course/s and date/s taken: ARE YOU A BHS REGISTERED INSTRUCTOR? Yes No ARE YOU A REGISTERED COACH FOR ANY OTHER EQUESTRIAN ORGANISATIONS? British Dressage British Eventing British Showjumping Endurance GB ABRS RDA UK Polocrosse Other: ARE YOU A PONY CLUB RECOMMENDED COACH? Yes No [Recommended Coaches are approved by the Training Committee and listed on ] You now need to identify which Coach Category you are. Please select one. 1. Fully Accredited Equestrian Coaches These Coaches can take sole charge of The Pony Club groups they coach, without supervision. Please complete Sections 3, 4, 5, 6 and 7. 2. Supervised Coaches These Coaches must not earn their main income from coaching riding. They may be paid to coach for The Pony Club. They must be supervised (within full sight and sound at all times) by a Fully Accredited Coach (category 1), the DC or Centre Proprietor, or any other official who fulfils the requirements for category 1. Please complete Sections 3 and 7. If you coach regularly (i.e. four or more times within any 30 day period) also complete Sections 4 and 5. 3. Volunteer Coaches These Coaches / Instructors must be unpaid and supervised by a Fully Accredited Coach (category 1), the DC or Centre Proprietor, or any other official who fulfils the requirements for category 1. If you coach regularly (i.e. four or more times within any 30 day period) complete Sections 4 and 5.
PLEASE CONFIRM THAT YOU HAVE SUPPLIED A COPY OF YOUR CERTIFICATE WITH THIS FORM Copy enclosed. SECTION 6 - First Aid Course These need updating every two or three years, depending on which course you do. The following courses are accepted: First Aid at Work (expires after three years) BHS Initial Aid course (expires after two years) Emergency Aid at Work, or any other one-day First Aid course including resuscitation (usually expires after three years – check the date on your certificate) PLEASE SELECT THE FIRST AID COURSE TYPE: FAW BHS IFA EFAW / 1 day course PLEASE SUPPLY THE DATE OF THE COURSE PLEASE CONFIRM THAT YOU HAVE SUPPLIED A COPY OF YOUR CERTIFICATE WITH THIS FORM Copy enclosed. SECTION 7 – Coaches Folder (All Coaches) The Pony Club Coaches Folder contains up to date information on Pony Club Tests, Health & Safety policies and other relevant information. Fully Accredited Coaches should own a copy. DOYOU OWN A COPY OF THE PONY CLUB COACHES FOLDER? Yes No Thank you for providing your information. This will be added to the Coach Directory within 7 days of receipt. Please sign below to confirm that all of the information supplied is, to the best of your knowledge, correct, and that you have supplied the required certificate copies: Coach Name and Signature: Date: Please return this form to The Pony Club Office by email to katie@pcuk.org post (The Pony Club, Stoneleigh Park, Kenilworth, Warwickshire, CV8 2RW). Please keep a copy for your own records.