Registration Form for Cowboy Dressage Clinic with Eitan Beth-Halachmy

Registration Form

Cowboy Dressage Clinic with Eitan Beth-Halachmy

July 25-26, 2015

Friday night Meet & Greet and Cowboy Dressage demonstration

Running W Ranch, 6147 Harvest Avenue, Rathdrum, Idaho

Name ____________________________________________________________________________________

Address___________________________________________________________________________________

City_______________________________________ State__________________ Zip______________

Home Phone_____________________________ Cell Phone_________________________________

E-mail Address_____________________________________________________________________________

Clinic requirements:  Horse and rider must be advanced enough to work in a group.  Required minimum is for all participants to be able to walk, trot, and lope their horse in a controlled manner in a large arena.

Clinic format:  There will be four sessions available – Saturday morning and afternoon and Sunday morning and afternoon.  Sessions are 3 hours each at $200.00 per session. Maximum of 10 riders.  You may choose one session or as many as all four.   Please indicate your session choices by checking the appropriate boxes:

□ Saturday morning 9am – 12pm

□ Saturday afternoon 1:30pm – 4:30pm

□ Sunday morning 9am – 12pm

□ Sunday afternoon 1:30pm – 4:30pm

Clinic fees:   ________  (number of sessions) x $200.00 per session = $__________ total clinic fee

Stalls are available on-site.  Stall fees are per day.   ______days x $20.00/day = $_________ total stall fee

Auditors are welcome!  Please complete this form.  ______ days x $25.00/day = $________ total audit fee

Your $200.00 deposit reserves your space in the clinic.  Clinic space is reserved at the time your deposit is received.  Payment in full must be received by July 1, 2015. Please send checks and registration form to:

Marcia Moore-Harrison

5985 Highway 95

Potlatch, Idaho 83855

Questions?  Call (208) 596-9242 or message us on Facebook at MM Training and Consulting

Participation in this clinic requires signed liability release forms.  Forms will be provided.