Rider Registration Form Online

Online Rider Registration - Gina Smith Dressage Clinic

Please complete the online form below to register as a rider in the May 28th clinic at Chriscon Farms. Registration is not complete until we receive payment.

RIDER INFORMATION:

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

How did you hear about this event? *

HORSE INFORMATION:

Horse Name *

Anything we should know about this horse? *

Coaches Name *

CURRENT LEVEL OF COMPETITION/TRAINING IN 2016: *

Riders are required to hold insurance on their horse.
OEF membership or other insurance companies are accepted.

OEF # / Policy #: *

Name on card / policy: *

Expiry: *

CLINIC PRICING:

Riding Lesson Type *

Do you require a stall rental? *

Only private 45 minute lessons will be offered in this clinic.

REFUND POLICY & GENERAL RULES:

REFUND POLICY: After registration and payment there will be no refunds. If you need to cancel it will be your responsibility to find a replacement. Please notify us if you are unable to attend, we will do our best to help you find a replacement.

Chriscon Farms reserves the right to cancel clinic(s) due to unforeseen circumstances or insufficient advance registration. We cannot accept responsibility for expenses incurred as a result of the cancellation of the clinic. If the event is cancelled by Chriscon Farms, refunds will be issued.

General Rules & Notes:

No smoking or alcohol consumption on any Chriscon property.
If you are renting a stall, please bring enough grain/hay with you. Otherwise, we will only provide hay and water.
No dogs are permitted.
No postdated cheques.
Horses may not come in direct contact with other horses on property or participating in clinic.
Please park your trailers in the designated parking area.

Select your responce *

I agree I do not agree. (You will not be permitted to participate in clinic)

WAIVER OF LIABILITY FOR PARTICIPATION:

I understand that handling and riding of horses may be dangerous, and cause potential injury to myself, people, horses, equipment, and surroundings as a result of equine related activities. I hereby agree that the clinic organizers (Chriscon Farms), and the clinician (Gina Smith), shall not be held responsible or liable for any injury to myself, my horse(s), or for loss or damage resulting from my participation in the Gina Smith Dressage Clinic. I hereby expressly release and waive any claims I may have against the clinic organizers clinician and I agree to indemnify said parties against any and all claims for injury, loss or damage I may suffer. *

I agree to the waiver of liability listed above.

Continue Rider Application