Daniel Stewart clinic Jan 22-23, 2022
This is the registration form for the Daniel Stewart clinic on January 22-23rd, 2022 at Vessel Farm in Flintstone, GA.  After completing this form please remember to mail in the paperwork and check to secure your spot.  "Closing date" is January 11th, 2022.
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Rider name *
Rider USEA # *
Rider Age *
Rider Address *
Rider phone number *
Rider email *
Rider's emergency contact: name and phone number *
Mount's name *
Group level for clinic *
Rider and mount's current competition level *
Health info: any known allergies or limitations? *
preferred riding day: this does not guarantee you will get that day but I will try
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Parent's name, if rider is a minor
Parent's phone number
Parent's email address
Submit
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