Skip to content
Rider Level Evaluation: Recommendation of Equestrians
Date of Examination
(Required)
Month
Day
Year
Instructor/Coach Name
(Required)
Instructor/Coach EC#
Email
(Required)
Phone Number
(Required)
Discipline
(Required)
English
Drive
Western
Candidate First and Last Name
(Required)
Level
(Required)
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Level 8
Level 9
Level 10
Host Acknowledgement
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)
Name
This field is for validation purposes and should be left unchanged.
