MINDFUL DRESSAGE CLINIC FORM
CLINIC LOCATION
CLINIC DATE
FULL NAME _______________________________________________________________
ADDRESS _________________________________________________________________
PHONE #_____________________________
EMERGENCY #______________________________
EMAIL ADDRESS ______________________________
LEVEL HORSE/RIDER ________________ PRIVATE $ 95.00
AUDIT ________ $35.00 SEMI PRIVATE $ 70.00
price includes lunch & a drink TOTAL $ _____________
COPY OF NEGATIVE COGGINS REQUIRED
CHEQUES PAYABLE TO – YVONNE ATWOOD.
MAIL TO -
Call Yvonne @ 240 529-8707 for questions & late lunch orders.
POSSIBLE STABLING – Contact
Ride times emailed Thursday before clinic. Call Yvonne if 'last minute'. Please read & sign the following disclaimer of liability -
I, the undersigned, understand that horse riding is a high risk sport and fully accept the risks involved as a rider, horse owner and an auditor at a lesson, clinic or any other horse activity conducted by Yvonne Atwood; and I, the undersigned, hereby release, waive and discharge any right to sue Yvonne Atwood (Mindful Dressage), her heirs and next of kin, or assistants; and I hereby agree to indemnity and save and hold harmless the releasee, and each of them, from any loss, liability, damage or cost that she/he may incur due to my presence in or about said activities, whether caused by the negligence of the releasees or otherwise.
PRINT NAME _________________________________
DATE __________________________
SIGNATURE ________________________________________________