March 27, 2022 ride-a-test & stadium clinic

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This is the "hold your spot" form for the ride-a-test and stadium clinic on March 27th, 2022 at Ashland Farm in Walnut Grove, GA. You may do just dressage or just stadium, or you may do both dressage and stadium. To secure your spot you need to mail in the registration form, copy of a current coggins, signed release forms (USEA and Ashland Farm), and payment by March 21st.

Email *

Rider Name *

Rider Address *

Rider email, if different than the one provided above

Rider phone number *

Rider USEA # *

Rider age *

Mount's name *

Ride-a-test test of choice, if wanting a dressage lesson

Stadium height, if wanting a stadium lesson

amoeba, 18"

tadpole, 2'

starter, 2' 3"

Beginner Novice, 2' 7"

Novice, 2' 11"

Training, 3' 3"

Modified, 3' 5"

Prelim, 3' 7"

Intermediate, 3' 9"

Clear selection

Any known allergies or health conditions *

Emergency contact, name & # *

A copy of your responses will be emailed to the address you provided.

Submit

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