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COWBOY
DRESSAGE SCHOOL OF HORSEMANSHIP 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 530-346-2388. 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. 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
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
I decline the use of a helmet _____YES or _____NO
Helmets are mandatory for all minors.
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