To help things go as smooth as possible in our clinics please have all of your forms sent in to ride In the __________________ Clinic, In as soon as possible as it is first come first serve basis. Our goal is for the riders and auditors to benefit the most out of your rides. If you could please answer a few questions below and either e mail them back to me at madams8550@aol.com  or send them snail mail with your application: to Melanie Adams 5157 Jolly Acres Road White Hall MD 21161 along with your other forms.  Thank You!

Name: ________________________________In case of Emergency,  Contact: ______________________Phone:_______________

 

What breed of horse will you be bringing?         Is it a Stallion, Mare, or Gelding? Age? ____

______________________________________

What level of training are you? __________________________________________

What level of training is your horse? ______________________________________

What is your goal for you and your horse? ____________________________________________________________________

What are your and your horse’s trouble areas? ____________________________________________________________________

 

What is your goal for this clinic? What would you like to learn about and/or get out of this clinic? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

In case the clinic fills up and to give everyone a chance to ride

 

Would you like to ride in a group of 2?___________If necessary? Would you prefer a group or single ride? ____________

Thank You for taking the time to fill out this short survey and returning it to me.

 

Melanie Adams

Mid Atlantic Lipizzan Association

 

Please make sure you include your proof of shots / rhino (within 30 days but not less than 10 days prior to clinic) & coggins

In addition to the USDF (if applicable) information release & Survey

Thank You