Registration Form for 1-day Centered Riding® Clinics
Hi!
This form is for the Basics or Further Clinics,
which are 1-day clinics.
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 |
Print out, Fill in, and Mail (with coggins if applicable) to:
Lynn Larson, 100 CR 166, Georgetown TX, 78626 |
| Item | Amount |
|---|---|
| Basics / Further
Centered Riding® Clinic
$40.00 to reserve mounted spot, balance of $40.00 due at clinic; $40.00 to participate unmounted | ________ |
| Groundwork
Centered Riding® Clinic $40.00 to participate unmounted | ________ |
| $10 stall/grounds fee (no tying to trailers!) | ________ |
| total for clinic: | ________ |
| total sent: | ________ |
| total due 1st day of clinic: | ________ |
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. To bring a horse, there is a grounds fee of $10 for the daily 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? | |||||||
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.