EmailMe Form - Rushmount Clinic Entry Form 2012

Rushmount Clinic Entry Form 2012

Rider Name *

Address:

Phone Number

###

####

Email

Horse Name:

Sex:

Male

Female

Age:

I would like to be put on
your next clinics email list:

Yes

Fees:

$100 + HST per day.

Please check one of the following heights that you
wish to participate in. Also check which discipline you
wish to train in.

Discipline:

Hunter

Jumper

Heights/Time:

9:00 - 10:30am - 2'0

10:30 - 12:00pm - 2’3- 2’6

1:00 - 2:30pm - 2’6 – 2’9

2:30 - 3:00pm - 2’9 – 3’0

4:00 - 5:30pm - 3’0+

Rushmount Equine Sports Ltd, Heidi Mueller,
Mikeael McCahon, or any agent thereof shall not
be held liable for loss due to, but not limited to,
injury of any kind, illness, fire, theft, or accident
incurred.

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Fees:

Please check one of the following heights that you wish to participate in. Also check which discipline you wish to train in.

Please check one of the following heights that you
wish to participate in. Also check which discipline you
wish to train in.