2022 Coaching 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 CertificationCertification(Required)Choose CertificationEnglish Instructor – In Person – Flat OnlyEnglish Instructor – In Person - With JumpEnglish Instructor – Virtual EvaluationWestern Instructor – In PersonWestern Instructor – Virtual EvaluationEnglish Competition Coach – In Person – Flat OnlyEnglish Competition Coach – In Person – With JumpEnglish Competition Coach – Virtual EvaluationWestern Competition Coach – In PersonWestern Competition Coach – Virtual EvaluationEnglish Competition Coach Specialist – In Person – DressageEnglish Competition Coach Specialist – Virtual Evaluation – DressageEnglish Competition Coach Specialist – In Person – EventingEnglish Competition Coach Specialist – Virtual Evaluation – EventingEnglish Competition Coach Specialist – In Person – JumpEnglish Competition Coach Specialist – Virtual Evaluation – JumpWestern Competition Coach Specialist – In Person – General PerformanceWestern Competition Coach Specialist – Virtual Evaluation – General PerformanceWestern Competition Coach Specialist – In Person – Speed EventsWestern Competition Coach Specialist – Virtual Evaluation – Speed EventsWestern Competition Coach Specialist – In Person – ReiningWestern Competition Coach Specialist – Virtual Evaluation – ReiningAdditional fees may be incurred for the in-competition evaluation which must be completed in-person.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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