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Rider Level Evaluation: Candidate Application
Date of Examination
(Required)
Month
Day
Year
Name of Coach
(Required)
Name of Evaluator
(Required)
If your coach is your evaluator, please just repeat their name.
Candidate's Full Name
(Required)
Email
(Required)
Phone Number
(Required)
Mailing Address
(Required)
Mailing Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province/Territory
Postal Code
Date of Birth
(Required)
Month
Day
Year
Are you over 18?
(Required)
Yes
No
Parent/Guardian Name
(Required)
Parent/Guardian Signature
(Required)
Discipline
(Required)
English
Drive
Western
Candidate's PTSO
(Required)
Alberta Equestrian Federation
Cheval Québec
Equine Association of Yukon
Horse Council British Columbia
Island Horse Council
Manitoba Horse Council
New Brunswick Equestrian Association
Newfoundland and Labrador Equestrian Association
Nova Scotia Equestrian Federation
Ontario Equestrian
Saskatchewan Horse Federation
Candidate's PTSO #
(Required)
Candidate's Current Level
(Required)
None
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Level 8
Level 9
Level 10
Candidate Acknowledgement
I understand that my Intructor/Coach needs to submit the Recommendation of Equestrians form in order for me to be evaluated.
(Required)
I understand.
I confirm that I have reviewed with my instructor/coach the skills required at this level and are satisfied that the equestrian is mentally and physically able to complete all phases. The equestrian is responsible for his or her own equipment and safety thereof.
(Required)
I confirm.
I agree that by submitting this application, I am electronically signing the application. I, the undersigned, solemnly declare that the information I have provided is true to the best of my knowledge.
(Required)
I agree.
Signature
(Required)
Phone
This field is for validation purposes and should be left unchanged.
