Which clinic are you attending?

(Month, Town, State)

Name:

Phone:

E-mail:

Town:

State:

What are the top three issues you would like addressed in the clinic?

What is your riding level?

(Beginner, Intermediate, Advanced)

Are you comfortable riding the horse you are bringing to clinic? trot? canter?

What style of horsemanship if any do you currently follow? (John Lyons, Parelli, Clinton Anderson, Dressage, etc)

Horse Name:

Horse Age:

Horse Gender:

Horse Breed:

Has your horse ever bucked, bolted, reared, or bitten? How often?

Is there anything else you would like to tell/ask us?