Registration Form for Centered Riding® Clinic with
Robin Brueckmann
Hi!
I'm glad you're coming to the Open Centered Riding® clinic!
To help with the running of the clinic,
please print out this form, fill in as much of the following information as you're
comfortable providing and mail it
to: Lynn Larson, 100 CR 166, Georgetown TX, 78626
Upon receipt of your deposit check of $140, your spot in the clinic will be reserved;
the balance of $85 ($225 total) and lease/grounds fee is due the day of the clinic. To participate as an
auditor, please send $80. If the clinic is cancelled, your money will be returned to you.
See you soon!
L
Some information about you:
| Name: | Phone: | ||
| Address: | e-mail: | ||
| Riding Discipline: |
___Dressage ___Hunt Seat ___Jumpers ___Eventing ___Endurance ___Western Pleasure ___Western Games _______(other) | ||
How long have you been riding and what is your 'level'?
What is your Main Riding "Goal"?
What is your past experience with Centered Riding? ie clinics, lessons? who with? where? etc.
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. If you plan to bring your horse, please provide some information about your riding partner:
| Name: | |||||||
| Gender: | Age: | Years Experience: | Arrival date? | ||||
| Riding Discipline: | ___Dressage ___Hunt Seat ___Jumpers ___Eventing ___Endurance ___Western Pleasure ___Western Games _______(other) | ||||||
Personal Investment: 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.
| Please circle your preference: | Total amount: | Amounts enclosed: | Amounts Due: | |
| For You: | as
rider $140
Deposit,
total $225 -OR- as auditor $80 |
:$225.00 | :________ | :________ |
| For Horse: |
bringing: stall/grounds fee: $30
-OR- borrowing: horse lease: $40 |
:________ | :________ | :________ |
| Totals: | :________ | :________ | :________ | |