Pre – Registration for the
Lita Hughes
& Jean Paul Pare’
Open Dressage Clinic – All Welcome
Name:
__________________________________________
Address:
_________________________________________
Phone:
________________E-mail_____________________
The Clinic
will be held on April 26, 2008
Are you
interested in Auditing? _____________________________?
Are you
interested in Riding? _______________________________________
Do you have a
preferred time? _______________________________________________________
Do you wish ride with one other person? ________
Clinic will be held at: Cedar Crest Farm
2600 Garrett Road
White Hall, MD 21161
Lecture Starts at 8:30 a.m.
Clinic Fees
Audit: $20 per day Lunch included
Lessons are:
$55 with Lita - Double lessons $35 each or In-hand work welcome
Lessons with
Jean Paul are: $85
…………………..
All Riders
please include your Neg. Cogging, current shots including rhino /EHV
( The Rhino shot must be within 30 days but no less than 10 days prior to
clinic) with your release
……………………………………
In
Consideration of being permitted by Cedar Crest Farm , Barbara & John Dreyer.,
(the Clinic/Farm) to enter onto the premises and participate in a program or
activity. I hereby agree that I, my assignees, heirs, distributes, guardians,
their legal representatives will not make a claim against, sue, or attach the
property of where the clinic will be held in addition to Melanie Adams, Lita
Hughes, Jean Paul Pare’ & the Mid Atlantic Lipizzan Association any of their
principals, agents, employees or representatives, for injuries or damages
resulting from the negligence or other acts, conditions, or circumstances,
howsoever caused, by any principal. Agent, employee, clinician, or
representative of Cedar Crest Farm and Mid Atlantic Lipizzan Association its
representatives. From all actions, claims, or demands that I, my assignees,
heirs, distributes, guardians, or legal representatives now have or may
hereafter have for injury or damage resulting from my presence at The Clinic or
from my participation in a program or activity at The Clinic.
Signature____________________________. Date__________________
__________________________Signature of Parent /Guardian if rider auditor is
under 21.
You can mail forms to and make checks payable to:
Melanie Adams c/o Mid Atlantic Lipizzan
Association
5157 Jolly Acres Road White Hall
Maryland 21161
Please submit your forms and money now to reserve your slot limited space available.
FMI you can email me at madams8550@aol.com or call my cell 443-220-6058