Canadian International Student Riders Membership Application
Name : _________________________________________________ Age(Birthdate)____________________________________

Address(H) : _____________________________________________________________________________________

Sessional Address: ________________________________________________________________________________

Phone #: ______________________________________________ Email: ____________________________________

CEF # : __________________________________________________

Post Secondary Institution and Program: ______________________________________________________________

Student # : _______________________________________________  Date of Graduation: ______________________

Please outline your riding and show experience: ___________________________________________________________________________

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Please describe the lesson program you are in right now and the coach you train with: ____________________________________________

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Please list and describe the competitions attended and placings earned this past year  (2001)_________________________________________

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What appeals to you about this organisation? ______________________________________________________________________________

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Print out this membership form and mail it to the Techincal Director - address given below. Please send along with the membership the $40 membership fee. Cheques may be made out to CURCA.
Once you have selected a competition that you would be interested in attending, please contact the Technical Director in regards to sending either a video tape of yourself riding. This video shall contain a dressage test at the Medium I level and a jumper style course of at least 3'6". You may also arrange a time for the Technical Director to visit you during a lesson or a show to assess your riding skills. The distance and time frames will decide whether or not to send a video or have a personal assessment done.

                                                                                     Good luck and thanks for your interest in CURCA!
Janet Rowe - Technical Director
24 Rima Crt
Etobicoke, Ontario
M9C 4C8
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