KICK ON FOR KOALAS
RIDER ENTRY FORM

Please complete the form below to enter one of the Kick on for Koalas clinic sessions to be held on Tuesday, February 25th at Barnstaple South in Ocala, FL (10800 NW 145th Ave., Moriston, FL 32668). Space with each clinician is limited, and will be filled in the order of receipt of entries and payment. Riders wishing to enter more than one session should complete an additional form for each entry. Entry fee for each cross country or show jumping session is $200 USD, dressage sessions are $150 USD. Riders will be contacted with information about payment.

ORGANIZER CONTACT: eventer6@gmail.com
RIDER NAME *
Your answer
RIDER EMAIL ADDRESS *
Your answer
HORSE NAME
Your answer
LEVEL *
PREFERRED CLINICIAN (1st preference) *
PREFERRED CLINICIAN (2nd preference, if 1st unavailable)
PREFERRED TIME OF DAY (will accommodate if possible) *
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