TD Application Confederation for Working Equitation
Application Fee $50. In addition to this form you must submit three references. This link may be used to submit references.

Page D-2 (application) and D-3 (Conflict of Interest / Code of Ethics) of the Licensed Officials Program must be signed and submitted to the Licensed Officials Committee. These forms can be found on the website.

Email address *
First Name *
Last Name *
Street Address *
City, State, Zip Code *
Phone Number *
Email Address *
Are you a minimum of 21 year old? *
Do you hold a current Individual Membership with the Confederation? *
Membership Number *
Working Equitation Experience *
Other Relevant Experience *
List any working equitation seminars/clinics you have attended. *
What experience do you have in a regulatory capacity, volunteer or otherwise? *
What experience do you have dealing with difficult people or situations? *
Signature - your typed name will serve as your electronic signature *
Payment Options. $50 application fee. *
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