Registration Form
Cowboy Dressage Clinic with Eitan Beth-Halachmy
July 25-26, 2015
Friday night Meet & Greet and Cowboy Dressage demonstration
Running W Ranch, 6147 Harvest Avenue, Rathdrum, Idaho
Name ____________________________________________________________________________________
Address___________________________________________________________________________________
City_______________________________________ State__________________ Zip______________
Home Phone_____________________________ Cell Phone_________________________________
E-mail Address_____________________________________________________________________________
Clinic requirements: Horse and rider must be advanced enough to work in a group. Required minimum is for all participants to be able to walk, trot, and lope their horse in a controlled manner in a large arena.
Clinic format: There will be four sessions available – Saturday morning and afternoon and Sunday morning and afternoon. Sessions are 3 hours each at $200.00 per session. Maximum of 10 riders. You may choose one session or as many as all four. Please indicate your session choices by checking the appropriate boxes:
□ Saturday morning 9am – 12pm
□ Saturday afternoon 1:30pm – 4:30pm
□ Sunday morning 9am – 12pm
□ Sunday afternoon 1:30pm – 4:30pm
Clinic fees: ________ (number of sessions) x $200.00 per session = $__________ total clinic fee
Stalls are available on-site. Stall fees are per day. ______days x $20.00/day = $_________ total stall fee
Auditors are welcome! Please complete this form. ______ days x $25.00/day = $________ total audit fee
Your $200.00 deposit reserves your space in the clinic. Clinic space is reserved at the time your deposit is received. Payment in full must be received by July 1, 2015. Please send checks and registration form to:
Marcia Moore-Harrison
5985 Highway 95
Potlatch, Idaho 83855
Questions? Call (208) 596-9242 or message us on Facebook at MM Training and Consulting
Participation in this clinic requires signed liability release forms. Forms will be provided.