Cowboy Dressage at Wolf Creek Ranch

COWBOY DRESSAGE SCHOOL OF HORSEMANSHIP
15468 Norvin Way, Grass Valley, CA 95949
530-346-2715  eitanndeb@gmail.com

REGISTRATION FORM

Please fill out the following registration form (below) print and fax or mail to:  Wolf Creek Ranch, 15468 Norvin Way, Grass Valley, CA 95949.   Fax 530-346-2715.  Please call and tell us that you are faxing so I can open up that line.

Name_________________________________________

Address_______________________________________

Phone________________ hm____________________ cell

Email address __________________________________

Name and phone # of Contact in case of emergency:

 ****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.

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DEBBIE AND EITAN