Phone________________ hm____________________ cell
Email address __________________________________
****Special dates have been set up for these semi-private 5 day clinics. CDSOH Costs with your own horse is $1600 and on one of ours is $1900.
Month to attend_______ Dates to attend_______
Deposit and or payment paid by __Check ___Visa ___Master Card
Make checks payable to Wolf Creek Ranch.
Deposit Amount $______Balance do at clinic.$______
Card No. _____________________________________________________
Name as it appears on card__________________________
Exp date __________ Signature _______________________
Security code _______
Bringing your own horse ____ yes ___ no
Requesting the use of one of our horses if available ___yes ___no
Level of horsemanship: ___Beginner ___Intermediate ___Advanced ___Western ___Dressage ___Pleasure ___________________Other.
How did you hear about his school?________________
Have you been to an Eitan Clinic or seen him perform in the past?_________ When______ Where___________________
By signing below your agree to hold Wolf Creek Ranch LLC, Cowboy Dressage, Joanne and Evan Dailey and Keiko and Morris Dailey harmless in case of injury or death to you or your horse.
Please sign below that you have read the list of information and are in agreement with the program and release to hold harmless.
Signed__________________________ Date ___________
I will bring my own helmet _____ YES or _____NO
I will use one of WCR's helmet _____YES or _____NO
Please initial here that you are aware that the $500 deposit refunds are not available unless we cancel and that a deposit is required to hold your student slot ______
Below, please tell us a bit about yourself and what it is that you wish to learn and accomplish while at Wolf Creek Ranch.
DEBBIE AND EITAN