Jan Biss - 3 Day Clinic

*Both riders and auditors will fill out this form.

General Information

What days are you signing up for?

Friday

Saturday

Sunday

First name*

Last name*

Street Address*

City*

State*

Ziip Code*

Phone Number*

Email*

Current Riding Level*

Horse Information

Horse's Name*

Auditor's enter N/A here

Is horse's Coggins current? (within 12 months) *

Yes

No

Auditor N/A

*Please email copies of the Coggins and Flu/Rhino to ctdcta.jmt@gmail.com or use the upload file link.

File upload

Copies of Coggins and Flu/Rhino can be uploaded using this link.

Clinic Pricing and Selections

Rider

1 Day $250

2 Days $450

3 Days $600

Auditor

1 Day $25

2 Days $45

3 Days $60

Please note that your spot will not be reserved without payment!

If you have any questions, please email ctdcta.jmt@gmail.com

*Priority given to those riding all 3 days and then to those riding 2 days.

Payment

Payment Options

Venmo - @JennaMcGowanTerry or 817-586-5633

Zelle - jjeventer@gmail.com or 817-586-5633

Personal Check

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