REgister Horsemanship Clinic Registration Name * First Name Last Name Email * Phone (###) ### #### Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Clinic Date MM DD YYYY Participant Information Skill Level * What is your skill level as a rider? Beginner Intermediate Advanced How long have you been riding? * Please answer in years or months. How often do you ride? Per week Tshirt Size * XS S M L XL 2XL Horse Information How old is your horse? Type of Horse Mare Gelding I can... * trot lope Emergency Contact Name First Name Last Name Phone (###) ### #### Relation Thank you!