LEE SMITH Clinic Registration Form Oct. 9, 10, 11th, 2010
First Name___________________________________ Last Name __________________________ Address_______________________________ City ___________________State __________Zip _______ Phone_____________________________ E-mail _______________________________________________ Emergency Contact_______________________________________ Phone ____________________________ I am registering for the: ( ) Foundation ( ) Advanced Course AUDITORS: The audit fee is $30 per
day. Please fill out and return registration
Enclosed is my non-refundable deposit of
$100 to reserve my place in the ( ) I would like an indoor stall for my horse $15 per night for ______ nights ( ) I would like an outdoor stall for my horse for $10 per night for _____ nights ( ) I need a parking space w/ electric for camping $5 per night for _____ nights
__________________________________________________
____________________ * Please return to address above *
|
|||