2025 Instructor's Symposium Registration

Instructor's Symposium Registration
Participant Info
Name*
Age*
Club/Center Affiliation*
Club/Center Name
Address*
City/State/Zip*
Mobile Phone*
E Mail*
example@example.com
I am a current member:*

YesNo

Current HM Certification*
HM Certification
Current Flat Certification*
Over Fences Certification
Current Over Fences Certification*
Over Fences Certification
What do you hope to learn from this clinic?*

I am a:*

ParentLeaderInstructor/Professional
What do you hope to learn from this clinic?*

I am a interested in becoming a Local Level Examiner*

YesNo

Thank you for your interest in the Local Level Examiner Program! Attending this Clinic is an important step in completing the training needed to help our members progress. Visit the links below to learn more and begin the process of becoming a Local Level Examiner.

LLE Program Information
LLE Program Application

We look forward to seeing you on March 22!

Please dress for the weather and bring a chair, a snack/drink and your questions!

Facility Address:

Brecksville Stabels
11921 Parkview Dr.
Brecksville, OH
Should be Empty: