2023 HCE Youth Training Workshop

Youth Training Workshop Registration Form
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Email
example@example.com
Age
Riding Experience
Any known medical conditions
Any known allergies
Emergency Contact
All 6-Weeks (discounts available June & July Camps with this option)

$780
Week 1

June 20 $75June 21 $75Both Days $150
Week 2

June 27 $75June 28 $75Both Days $150
Week 3

July 11 $75July 12 $75Both Days $150
Week 4

July 18 $75July 19 $75Both Days $150
Week 5

July 25 $75July 26 $75Both Days $150
Week 6

August 1 $75August 2 $75Both Days $150
If you are bringing own horse please provide coggins access # access number state state date drawn date Space is limited, $25 per day you must supply own feed & hay.
Registration form and fees due in advance NONREFUNDABLE Toms Performance Horses, LLC 2965 Hat Creek Rd Brookneal, VA 24528

I, the camper or guardian of the minor (under 18), enter the above horse at my own risk subject to all rules and regulations of the show and Hat Creek Equestrian. I agree if any injury or death occurs to the animal exhibited, myself or minor exhibitor, spectators, or damage to any personal property on the grounds, that I hereby waive and release any claim to liability whatsoever from Hat Creek Equestrian. all committees, property owners, employees, members. and volunteers whether the injury. death. or damage be caused by gross negligence or simple negligence of Hat Creek Equestrian. Exhibitor Signature (or guardian if under 18)
Exhibitor Signature (or guardian if under 18)

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Youth Training Workshop Registration Form

Registration form and fees due in advance NONREFUNDABLE Toms Performance Horses, LLC 2965 Hat Creek Rd Brookneal, VA 24528