Registration Form for Centered Riding® Seminar

Hi! I'm looking forward to meeting you in person! To better organize the seminar, I'd like to have as much of the following information as you're comfortable providing. Your spot in the seminar will be reserved as soon as your registration is received, at which time I'll send you a confirmation. See you soon! L Some information about you: Print out, Fill in, and Mail to: Lynn Larson, 100 CR 166, Georgetown TX, 78626 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':     Your past experience with CR? ie clinics, lessons? who with? where? etc.

Personal Investment: For this seminar, the energy exchange is $40.00 US. Please send a check payable to Lynn Larson. It will be held until the seminar. If by some odd chance, the seminar is canceled and does not happen, your check will be returned to you. If you cannot make it to the seminar and can fill your spot, your payment will be returned.