A Clinic With Purpose Sign Up Form
Application deadline: December 1, 2022 
Scholarship applications close as of 11/12/22
Clinic Dates: December 10-11, 2022
Time: Four sections from 8 a.m. - 4:30 p.m.
Location: River Run Farm 14710 Palm Beach Point Wellington, FL 
Contact: clinic@rrfhorseheaven.com 
Note: All sections with '*' are required. 
Please also submit the Liability Release form.  If signing up for more than one participant and/or more than one horse please indicate in form. Thank you!
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Email *
First & Last Name - please include full names for all who are signing up *
Cell phone *
Home city & state - please also include USHJA Zone  *
Clinic Participation - please click all that apply to this application *
Required
Which height? Please click all that apply to this application.  If auditing only, please indicate the height you are riding at currently.  *
Required
Applicant is/are a/an: click all the apply *
Required
Tell us briefly about your goals, discipline of choice (hunter, eq, jumper) and if you compete, in what divisions/classes (auditors too!) *
PAYMENT: I understand that once I apply I will receive a confirmation and an invoice (if applicable) in email. In order to hold my spot(s), payment must be received within 48 hours.  Payment info will be included in email. *
Required
FOOD: Sat & Sun: Light breakfast fare, sandwiches & snacks will be available. Sat. eve appetizers & refreshments will be served. Please indicate any dietary restrictions *
STALLS:  River Run Farm is currently full for the season.   We encourage you to ship over or ride in. If you need a stall, we recommend purchasing stabling at Wellington International showgrounds. River Run Farm is a ten minute walk from the back gate of the facility.   Note: Stabling deposits at WEF are due in November.  Scholarships don't include stall fee.
SCHOLARSHIP APPLICANTS: Through the generosity of USHJA Zone 4 and Sotheby's Wellington, we are able to offer 3 scholarships valued at $800 per scholarship. If applying for a scholarship the two sections below are required.  Note - two of the three recipients will be members of Zone 4.
Complete this section only if you are applying for a scholarship. Please click all that apply.
Complete this section only if you are applying for a scholarship. Please answer one of the following questions:
What does ‘With Purpose’ mean to you?
What do you hope to gain from participating in ‘A Clinic With Purpose’?
What does 'Rider to Horseman' mean to you?

Note there isn’t just one ‘correct’ answer to these questions. We will look for thoughtfulness, an understanding of the importance of horsemanship & a desire to be a better horseman.

NOTE HERE: Any clarifying details about your application not included above.  Thank you!
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