2022 Coaching RE-Evaluation Registration Form 1Registration2Checkout InformationOE #(Required) EC #(Required) NCCP #(Required) Name(Required) First Last Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Date of Evaluation MM slash DD slash YYYY 1st ChoiceDate of Evaluation MM slash DD slash YYYY 2nd ChoiceSelect CertificationRe-Evaluation Type(Required)Choose Re-Evaluation TypeIn-personVirtualCertification(Required)Choose CertificationInstructor: EnglishInstructor: WesternCompetition Coach: EnglishCompetition Coach: WesternCompetition Coach Specialist: English DisciplinesCompetition Coach Specialist: Western DisciplinesInstructor: English Portfolio Mounted Lesson – Flat Mounted Lesson – Jump Lunging Lesson Unmounted Lesson Practical - Stable Management Written Test Instructor: Western Portfolio Mounted Lesson Lunging Lesson Unmounted Lesson Practical - Stable Management Competition Coach: English Portfolio Mounted Lesson – Flat Mounted Lesson – Jump Lunging Lesson Equitation Lesson Analyze Performance Competition Coach: Western Portfolio Mounted Lesson – Group Rail Mounted Lesson – One Student Maneuver Lunging Lesson Analyze Performance Competition Coach Specialist: English Disciplines Portfolio Coaching Lesson – Flat Coaching Lesson – Introduce Coaching Lesson – Improve Coaching Lesson – Lunge Competition – In-Competition Evaluation Competition Coach Specialist: Western Disciplines Portfolio Coaching Lesson – Introduce Coaching Lesson – Improve Coaching Lesson – Pattern Topic Competition – In-Competition Evaluation In-Competition Evaluations are priced according to location and availability of evaluators.Fee (Including 13% HST) Terms and ConditionsCANCELLATIONS:(Required)A 25% administration fee will be applied to refunds requested. However, NO REFUNDS will be granted less than 14-days prior to the date of the course or for no-shows. OE reserves the right to cancel session(s) due to unforeseen circumstances or insufficient advance registration. If OE cancels the course, you will receive a full refund. OE cannot accept responsibility for expenses incurred as a result of the cancellation of a course. I have read and understand the Cancellation PolicyTERMS(Required)I do hereby release the facility at which the evaluation I am participating is being conducted, the course conductor and Ontario Equestrian/Equestrian Canada from any liability for any injuries or damage to myself, horse, or property caused while participating in this coaching evaluation. I agree. 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