Authorizations Clerk

Office of the Authorization Clerk
Authorizations Clerk
THL Ursula of Rouen
Please send all completed and signed forms to:

THLady Ursula of Rouen
c/o Danielle M. Duvall
PO Box 661
Shepherdstown, WV 25443

Cards may be expected within 3-6 weeks of receipt of completed paperwork.

Self Addressed Stamped Envelopes are never required but always appreciated!

Useful Files

Authorization Form 2016

Minor w/ Adult Authorization Form 2015

Youth Authorization Form 2015

Equestrian Authorization Form 2015

Equestrian Youth Form 2015

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