Chris Irwin Clinic Registration Form

Chris Irwin Clinic Registration Form
Chris Irwin Clinic
Clinic Date

May 24 - May 26Oct 25 - Oct 27
Participant*

Full NameDate of Birth
Contact Information*

Email AddressPhone Number
Horse Information*

Name of HorseDate of Vaccination
Stable and Coach

Stable NameName of Coach
Private or Semi-Private*

Private $250.00 (includes HST) - 45 Minute SessionSemi-Private $250.00 (includes HST) - 90 Minute Session
Deposit or Paid in Full*

Deposit $125.00 - Non RefundablePaid in Full $250.00
I, First Name* Last Name* , hereby acknowledge by completing this form agree to pay the non-refundable deposit of $125.00 upon submission. I acknowledge that the remaining balance, if not paid in full, is due 1 month prior to the Clinic Date.
If deposit and/or final payment is not sent, I acknowledge that I could lose my spot in the clinic.

Etransfer payment upon submission to: renatemcgillivray@outlook.com
Under Memo, Please put: Participant Name and Clinic
Once all entries have been collected, an Email will be sent with the schedule for the day.
Date*

MonthDayYear
Date
Should be Empty: