Manitoba Horse Council - Privacy Release Form

Privacy Release Form

Please complete this form if you wish to declare your involvement with any Coaching or Officials Programs, registered or acknowledged by Manitoba Horse Council.

The file will be confidential to:
1.    MHC administration
2.    MHC Executive Committee (President, Vice-President, Secretary, Treasurer, as appropriate)
3.    Other nationally recognized Coaching Certification organizations such as Equestrian Canada, Coaching Association of Canada, CANTRA, CHA, etc. as appropriate to my certification.

Your file will not be shared outside of the above unless you request it. You will receive a confirmation by email.

First name *

Last name *

Email *

Mobile

Address *

City *

Country *

State/Province *

Region *

Zip/Postal code *

I understand that I am responsible for submitting documents/pre-requisites to maintain any currency for the Certification which applies to me.

I have read and accept *

Please read and scroll to the bottom to accept.

I give permission for my contact information to be used by MHC for their website and communication (name, phone number, mailing address, email address)

I have read and accept *

Please read and scroll to the bottom to accept.

I will maintain a Manitoba Horse Council membership to enable me to take part in any Coaching or Officials activities including courses, news of upcoming events, special offers etc.

I have read and accept *

Please read and scroll to the bottom to accept.

Electronic signature

Please sign your name inside the box

Type your name

Signature style

Electronic signature Signature pad

A required field has not been filled.

Please accept all conditions.

Connect to fill this form

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Email or mobile

Connection code

Waitlist

Leave us your coordinates. We will contact you when a spot frees up.

Comment

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Membership

Your membership is tied to your email address. If you are using the wrong email, your membership will not be detected. You can try disconnecting and connecting using another email address.

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