Ray Butterfield Clinic Registration
October 19, 2024
Rider's Name
*
First Name
Last Name
Horse's Name
*
Riding Level
Can walk/trot/canter with confidence
Can walk/trot/canter and jump small jumps
Flatting and jumping courses 2ft-2ft3
Flatting and jumping coursesĀ 2ft3-2ft6
Flatting and jumping courses 2ft6+
Jumpers Under 1.0m
Jumpers Over 1.0m
Remainder of form for ship-ins (non-Benchview clients) only.
Parent/Guardian Name (if rider under 18)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you require a stall? (For ship ins only)
Please Select
Yes
No
Comment/Questions/Additional Info
Submit
Should be Empty: