Application Form

Evaluator Name *

First

Last

Evaluator Email *

Evaluator NLEA # *

Evaluator EC License # *

Candidate Name *

First

Last

Candidate Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Candidate NLEA # *

Evaluation Date *

Learn to Ride Program *

English Western Driving

Are you challenging the selected level(s) below? *

Yes No

Upload EC "Host Application Form" *

Max file size: 20MB

Upload EC "Candidate Application Form" *

Max file size: 20MB

Administration Fee: $25.00 (EMT: treasurer@equestriannl.ca, password: RiderLevel2025)

Must be sent immediately upon submission of this form or application will be rejected.
Please include candidate's name and reason for sending payment in EMT message/note.

EC LEARN TO RIDE/DRIVE APPLICATION ​FORM