Nona Garson Clinic Registration Tuesday and Wednesday, December 30 and 31, 2014 The Ridge @ Wellington 14415 Palm Beach Point Blvd Wellington, FL 33414 Rider Name _______________________________________________________ Rider Address
________________________________________________ ________________________________________________
Adult or age of Junior ____________
Telephone: _____________________________________
e-mail _____________________________ Alternate Phone _________________________________
Name of Horse ________________ Mare or Gelding _____ Ht._____ Color ______ Please circle Approximate jumping height desired:
2’6 and below
2’9”
3’
3’3”
3’6 plus
The event is designed to be a 2-day clinic. Single day participation is subject to availability. Exact times for each section will be confirmed 5 days prior to clinic start. Since groups will be divided according to experience and ability, please describe briefly your current riding level/show experience:
_______________________________________________________________________________________ _______________________________________________________________________________________ ______________________________________________________________________________________ Please send or fax (*) your payment of $450 for a 2-day clinic (plus horse lease payment if applicable) payable to The Ridge Farm along with this form by any method as follows: The Ridge Farm / Nona Garson 14294 Stroller Way, Wellington, FL 33414 FAX:561-791-1543 Scan and email to: NonaRidge@aol.com (*) faxed forms will only be confirmed upon receipt of payment or if accompanied with credit card information. Method of Payment (circle):
Check
Cash
Credit Card: Visa
MasterCard
Amex
Number__________________________________________________ exp. date____________ CID # _______________ Please provide billing name and address associated with credit card: ________________________________________________________ ________________________________________________________