Clinic Registration Form
What clinic are you registering for?
Please Select
April 20 - Emergency Equine First Aid - Sue McGoldrick $169
April 21 - Advanced Equine First Aid - Sue McGoldrick $169
May 3 - Audit Trailer loading/Problem Solving - David Cowley $90
May 4-5 - Intro to Extreme Cowboy with exclusive Demo - David Cowley $350
June 15 - Intro to Barrel Racing - Morgan Ruitenbeek $125
June 29 - Intro to Pole Banding - Morgan Ruitenbeek $125
July 27 - Intro to cattle sorting - Stuart Harrower $140
August 17 - Colt Starting / Greenbreaking - Mike Brennan $125
Sep 29-29 - Ground & Mounted Manners / Fix Flaws - Shannon Townsend $140
Oct 19 - Intro to Equine Vaulting - Cathleen Nowicka $125
Rider Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Horse's Name / gender
*
Coggins/ Shots (most recent date)
*
Insurance and policy number
*
Brown bag lunch ($10 per day)?
Yes
No
Renting a stall ($10 per day)?
Yes
No
Auditor Fee ($30.00 per day)?
Clinic Fee [see Clinic ad for fee amount]
Calculation of Total plus (HST 13%) Payment methods: E-transfer tombstonetackshop@gmail.com or call 613-978-4985 to pay via credit card
Signature
Submit
Submit
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