Name_________________________________________ Address_______________________________________ Phone________________hm____________________cell Email address __________________________________ Name and phone # of Contact in case of emergency:
****Special dates have been set up for these private 5 day clinics. Fees are to be $200 per day auditor only and $300 with your horse and $360 with one of ours . Most of the day is auditing and riding time is usually an hour or so. Month to attend_______ Dates to attend_______ Deposit and or payment paid by __Check ___Visa ___Master Card Deposit Amount $______Balance do at clinic.$______ 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___________ Below, please tell us a bit about yourself and what it is that you wish to learn and accomplish while at Wolf Creek Ranch. HAPPY TRAILS DEBBIE AND EITAN Tell us all about you and your horse and what it is that you wish to accomplish: |
