Working Equitation Clinic with Lizzie Barker
Sunday, December 28
Today's date
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Month
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Year
Date
Student Name
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First Name
Last Name
Student's DOB
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Month
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Day
Year
Date
Email
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example@example.com
Phone Number
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Format: (000) 000-0000.
Emergency Contact Name and Phone Number
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Working Equitation Ease of Handling Level
Intro/New to WE
Level 1
Level 2
Level 3
Level 4
Level 5+
Private or Group
Private
Group
Are you a Harmony student, if no, we will send you the link for our release form.
Yes
No
Additional Information
Attire:
Closed toed, hard soled shoes required
Dress in clothes that can get dirty
Rain gear will be needed for rainy days
Bring layers, hats, and gloves for colder days
An extra set of clothes is always a good idea
Food/drink:
Bring a refillable water bottle
Snacks are strongly recommended
We have a refridgerator and microwave you can use
Payment Options:
Make checks payable to Harmony Equestrian Center
If using online payment it will include a 4% processing fee
Payment
Payment Option
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Online via paypal (includes 4% processing fee)
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