Centered Riding® Clinic Registration Form

Updated 04/18/02

Registration Form for Centered Riding® Clinic with Lynn Larson

Hi!
Please fill out as much of the following information as you're comfortable providing - it will help with running the clinic. Upon receipt of your deposit check, your spot in the clinic will be reserved; the balance is due the day of the clinic.
See you soon!
L

Which clinic do you plan to attend/audit?
(circle one!)

Print out, Fill in, and Mail (with coggins if applicable) to:
Lynn Larson,
100 CR 166,
Georgetown TX, 78626

Clinic	Date	Deposit
Open Centered Riding^® Clinic		_____
The Basics of Centered Riding^®		_____
Further Topics in Centered Riding^®		_____
horse lease: $40 - or - stall/grounds fee: $40		_____
total:		_____

Some information about you:

Name:
Address:
Phone:
e-mail:
Riding Discipline:	___Dressage ___Hunt Seat ___Jumpers ___Eventing ___Endurance ___Western Pleasure ___Western Games _______(other)
Years experience:
Highest level:
Main Riding 'Goal':

What is your past experience with Centered Riding? ie clinics, lessons? who with? where? etc.

Some information about your riding partner:

To lease a horse, please call for availability. It will be $40 for the weekend. To bring a horse, there is a grounds fee of $30 for the weekend clinics. A stall without shavings will be provided. A current coggins is necessary.

Name:
Gender:
Age:
Years of Experience:
Riding Discipline:	___Dressage ___Hunt Seat ___Jumpers ___Eventing ___Endurance ___Western Pleasure ___Western Games _______(other)
Coming to the clinic?

Personal Investment:
For these clinics, the energy exchange is listed in Finding Satori. Please send a check payable to Lynn Larson. It will be held until the clinic. If by some odd chance, the clinic is canceled and does not happen, your check will be returned to you. If you cannot make it to the clinic and can fill your spot, your payment will be returned.