CASI Program Cancellation Request
Region of Program
*
Please Select
Level 4 and/or Evaluator Development
Alberta/British Columbia/Territories
Ontario/Manitoba/Saskatchewan
Quebec/Atlantic Provinces
Program Type
*
Please Select
Member Session
CASI Level 1 Instructor
CASI Level 2 Instructor
CASI Level 3 Instructor - Riding Module
CASI Level 3 Instructor - Teaching Module
CASI Level 3 Instructor - IT Module
CASI Level 3 Instructor - Riding Exam
CASI Level 3 Instructor - Teaching Exam
CASI Park 1 Instructor
CASI Park 2 Instructor
CASI Carving Instructor
Other - Level 4 or Evaluator Training
Scheduled Start Date of Program
*
-
Day
-
Month
Year
Date
At which resort?
*
Name (exactly as entered when registered for course)
*
First Name
Last Name
Email (exactly as entered when registered for course)
*
example@example.com
Member Number
*
Reason for Cancellation Request
*
Do you have any supporting documents to upload?
*
Yes
No
Supporting Document Upload - pdf or photo files only
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature - I understand and accept the result of this request.
*
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