Pre – Registration for the
Sue Ott
Open Dressage Clinic – All Welcome
Name: __________________________________________
Address: _________________________________________
Phone: ________________E-mail_____________________
This Clinic will be held on March 27, 2010
Are you interested in Auditing? ___________________Which
day(s)__________________?
Day(s) you are you interested in Riding? ________________________Single or
Double? ______________
Do you have a preferred time? _______________________________________
Clinic will be held at:
Four Winds Farm
5157 Jolly
www.lipizzanerhorses.com
Starts 9 am
Clinic Fees
Audit: $10 per
day Lunch included Bring a chair!
Lessons are: $75.00 for Private -
Double lessons $40 each (In-hand work also welcome)
…………………..
$100.00 Deposit required in order to reserve your slot.
All Riders please include your Neg. Cogging, current shot record
with your release
……………………………………
In Consideration of being permitted by Four Winds Farm ,
Melanie & Tom Adams., (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 & Tom Adams, Sue Ott 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 Four Winds Farm or any of 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 Four Winds Farm
5157 Jolly
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