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Clinic Registration (printable pdf file)
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Name:
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Address:
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City:
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State & Zip:
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Phone:
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Ext.
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E-mail:
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Clinic Date:
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I would like to audit a clinic:
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I would like to ride in a clinic:
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If you wish to ride in a clinic please provide the following information:
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Horse’s Name:
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Breed:
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Age:
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Briefly describe any previous training your horse has experienced and that you have experienced:
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Are there specific issues that you need help solving with your horse?
If so please briefly describe:
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If you have any additional comments or questions add them here:
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Please enter this security number ( 571 ) and click [Send]:
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