HSI Access NI Form 2025

HSI Access NI Form
Who is the Access NI application for?*

Applying for Adult Over 18Applying for Minor Under 18 (over 16)
Applicant Name*

First NameMiddle NameLast Name
Parent / Guardian Name

First NameLast Name
Address*

Address 1

Address 2

City / TownCounty

Eircode / Post CodeCountry
Applicant Date of Birth*

DayMonthYear
Applicant must be over 16 to be Vetted
Phone Number*

Area CodePhone Number
Parent / Guardian Phone Number*

Area CodePhone Number
Email*
example@example.com
Parent / Guardian Email*
example@example.com
Have you completed or are you in the process of completing a HSI Coaching Course?*

YesNo
Role/Position being Vetted for (please select all relevant roles, generic role like "Volunteer" will not be accepted)*

Child Protection / Welfare OfficerEquestrian Centre Staff MemberEquestrian Coach / InstructorEquestrian Official (Judge, Steward etc.)Equestrian Event OrganiserEquine Therapeutic Coach / Instructor / AssistantManager / Chef D'Equipe Underage TeamPhotographer at Underage EventsPony Club Committee MemberPony Club AssistantPony Club non-Equestrian Coach / InstructorRDA Ireland Leader / Side-Helper / WalkerEquestrian Medical OfficialOther, please Type Role (it may be subject to Approval)
Does the Role involve direct contact with (please select):*

ChildrenVulnerable AdultsBoth
HSI Affiliate (Please select all Affiliates your Vetting application applies to)*

Army Equitation SchoolAssociation of Irish Riding Clubs (AIRC)Association of Irish Riding Establishments (AIRE)Carriage Driving Section of HSIConnemara Pony Breeders SocietyDressage IrelandEventing IrelandFederation of Irish Polo Clubs (FIPC)Hunting Association of IrelandIrish Polocrosse AssociationIrish Pony ClubIrish Pony SocietyIrish Quarter Horse AssociationIrish Shows AssociationIrish Universities Riding Clubs AssociationMedical Equestrian Association of Ireland (MEAI)Mounted Games Association IrelandNorthern Ireland Horse BoardPara Equestrian IrelandRDA IrelandRoyal Dublin Society (RDS)Showing IrelandShowjumping IrelandTraditional Irish Horse Association (TIHA)TREC IrelandHSI Coaching ProgrammeHSI StaffOther, Please type Organisation name (Application will be subject to approval)
Access NI Ref Number
Renewal Date

DayMonthYear
Date

My Products*

HSI Access NI Application

€20.00 Quantity

Enter coupon

Total

€0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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