Clinic Registration form for all attendees

Clinic Registration

The team fee will provide each rider free entrance to all informational/seminar clinics. Youth under 21 and one 4H leader/club will receive free entrance to clinics. Dressage for Endurance Riders with Greta Wrigley is first-come-first serve sign up with an $80 fee/session - unlimited auditing. The trot-out and equine bodyworks clinics will allow 15 horses/handlers limit - unlimited audit. We request participants let us know what they intend to attend for planning purposes. Individual riders are welcome to attend all the clinics on both days for $100 as well as auditing the Dressage for Endurance Clinic running concurrently in the arena. More information on clinics, schedule and clinicians can be found here: https://usaneenduranceinc.org/northeast-endurance-team-challenge-clinics
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of your team and distance or teammembers if TBD. Please put n/a if you are not on a team but would like to sign up for the clinics.*
Are you a Youth under age 21 as of Dec 1, 2023 or a 4H leader?*

Youth < age 214H leaderNeither
Number of individual entrants for visitors or youth who are under 21 y/o or a 4H leader (enter 0 zero if n/a).*
Which informatinal Clinic sessions will you be attending?

Thurday 11:30A-5:30PFriday 8a-NoonBoth Thursday & Friday clinicsNo info clinics - riding D4ER
Please let us know if you would like to work with your horse at Kelsey Russell's clinic on Trot-Outs and Crewing (limited to 15 horses - if more, preference 1/team & will have a wait list)*

YesNo
Please let us know if you would like your horse evaluated as a part of the equine bodyworks clinic (limit 15 horses - if more 1/team and will have a wait list)*

YesNo
Dressage for Endurance Riders, $80/session, please select day & morning/afternoon preference. Shedule will be created in June (mark the session times you are available)

Friday June 21 8A-noonThurs June 20 12:30-5PMThurs June 20 8A-noon
Fee for Dressage for Endurance Riders
Are you an individual rider who is not on a team or visitor who is not a youth? (Fee $100)

YesNo
Fee for Individual
Total for all fees
Thank you so much for signing up for our awesome clinics. To pay your fee please use paypal.me/USANEEndurance which will also be sent to you in the confirmation email which will confirm all the details of this entry form.
Should be Empty: