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👤 Personal Details

Step 1 of 6
Fields marked * are required. All personal data is stored securely in line with GDPR.
Please enter your first name.
Please enter your last name.
Please enter your date of birth.
Contact Information
Please enter a valid email address.
Please enter your phone number.
Address
Please enter your address.
Please select your county.
Please enter a valid Eircode (e.g. A65 F4E2).
Registration Type
Please select new or returning.
Step 1 of 6

🛡️ Compliance & Vetting

Step 2 of 6
All certifications must be current and valid. Expired certifications will prevent approval.
Garda Vetting
Please enter your Garda Vetting expiry date.
First Aid — FAR
Please enter your FAR expiry date.
Please enter your FAR certificate number.
Safeguarding
Please enter your Safeguarding expiry date.
Step 2 of 6

📅 2025 Activity

Step 3 of 6
Tests Coached in 2025
Select all tests you coached IPC members in during 2025. Selecting "None" will deselect all others.
Please select at least one option (or "None").
Tests Examined in 2025
Select all tests you examined during 2025. Selecting "None" will deselect all others.
Please select at least one option (or "None").
Branch Activity
Hold Ctrl / Cmd to select multiple Branches. Select all that apply for 2025.
Please select at least one Branch.
CPD & Volunteering
List all CPD courses attended and volunteering activities undertaken in 2025.
Please describe your CPD / volunteering in 2025.
Please select yes or no.
Please select yes or no.
Step 3 of 6

🏅 Qualifications & Register Listing

Step 4 of 6
Your Qualifications
Select all qualifications you currently hold. These will be verified against uploaded documents.
Please select at least one qualification.
Register Listing Category — theIR 2026
Select all categories you were listed under on the Instructor Register (theIR) in 2026.
Please select at least one category.
Step 4 of 6

📎 Document Uploads

Step 5 of 6
Upload clear copies of all required documents. Accepted: PDF, JPG, PNG — max 5MB each. Stored securely for admin verification only.
📄

Click to upload

PDF, JPG or PNG — max 5MB

Please upload your qualification certificate(s).
🛡️

Click to upload

PDF, JPG or PNG — max 5MB

Please upload your Garda Vetting certificate.
🩺

Click to upload

PDF, JPG or PNG — max 5MB

Please upload your FAR certificate.
🔒

Click to upload

PDF, JPG or PNG — max 5MB

Please upload your Safeguarding certificate.
References, CPD records, or other supporting documents.
📁

Click to upload (multiple allowed)

PDF, JPG or PNG — max 5MB each

Some documents must also be uploaded to your IPC member area in addition to this form.
Please confirm your document upload status.
Step 5 of 6

✅ Permissions & Final Details

Step 6 of 6
Publishing & Contact Permissions
Your profile will appear on the IPC Coach & Assessor listing. Do you consent to contact details being visible to members?
Please select a publishing preference.
Data Protection & GDPR
The Irish Pony Club processes your personal data for membership administration, register maintenance and communication. Your data will not be shared with third parties without consent.
You must consent to data processing to submit.
Additional Information
Declaration
I declare that the information provided in this form is accurate and complete to the best of my knowledge. I understand that false or misleading information may result in removal from the IPC Coach & Assessor Register.
Step 6 of 6
🐴

Registration Submitted!

Thank you for submitting your 2026 IPC Coach & Assessor registration.

Your application will be reviewed by the IPC admin team. You will be notified by email once your profile has been approved and published on the register.