Submission Form - Central Ontario Standardbred Association

COSA Membership Application Form

In order to become a COSA member you must have valid AGCO and Standardbred Canada licenses.

PERSONAL INFORMATION
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Provide either mobile or landline number
Email*
LICENSE INFORMATION
AGCO/Standardbred Canada #*
AGCO License Type*
Check all that apply
- Owner
- Trainer
- Driver
- Groom
- Blacksmith
- Other
Name
This field is for validation purposes and should be left unchanged.

I HEREBY APPLY FOR MEMBERSHIP IN THE CENTRAL ONTARIO STANDARDBRED ASSOCIATION. I AGREE TO ABIDE BY THE BY-LAWS OF THE ASSOCIATION AS APPROVED BY THE MEMBERS FROM TIME TO TIME.

COSA Membership Application Form

PERSONAL INFORMATION

LICENSE INFORMATION