Glenmore Hunt Foxhunting Clinic Registration
Please fill out the Registration Form. Payments can be made through Glenmore Hunt's website PayPal or on-site.
Waiver acceptance and signature for Glenmore Hunt: *
Required
Waiver acceptance and signature for Ride With Pride: *
Required
Electronic Signature *
Please type your first and last name
Your answer
Electronic Signature for a minor
Please type your first and last name of parent or legal guardian
Your answer
Rider Information
Name of Rider *
First name
Your answer
*
Last name
Your answer
E-mail address
Your answer
Mailing address
street
Your answer
city
Your answer
state
Your answer
zip
Your answer
Emergency Contact Information *
Please list a person of contact name
Your answer
*
phone number
Your answer
*
relationship
Your answer
Please list any known medical conditions that may be pertinent in case of an accident
Your answer
How did you hear about our Foxhunting Clinic
Please check all that apply
Would you like to be added to Glenmore Hunt's email list and receive notifications of other available events?
Please note that we DO NOT share your information with ANYONE and the notices will be limited to Glenmore Hunt activities and events.
Horse Information
Name of horse *
Your answer
Coggins Accession # *
(please bring a copy to the event if not sent in at the time of registration)
Your answer
*
Date drawn
Your answer
*
State
Your answer
Horse owner
Name
Your answer
Address
Your answer
phone number
Your answer
email
Your answer
Method of Payment
Please select your method of payment below. Note the credit card link is on our website. For questions regarding payment please email marylee@glenmorehunt.com
What method of payment will you be using?
Clinic Questionaire
Please answer the below questions so the clinicians can best determine groups for maximum fun, safety, and education.
Have you ever foxhunted?
If so, Which flights?
Are you able to rate your horse?
What height have you jumped your horse? (mark n/a if you do not jump--not required)
Your answer
Have you walk, trotted and cantered in open fields?
Using the descriptions below, which flight would like to join?
Please be mounted and ready to ride by 9:00 am Hard hat required and BYO bagged lunch. Contact Brenda Simmons 540.292.8948 or brenda.foxhunt.simmons@gmail.com if you have any questions.
Your answer
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