Clinics and Trail Challenge Registration

	Boarding - Training - Lessons 4607 Gardenspot, Deer Park, WA - 509-276-6345

	Clinic & Trail Challenge Registration

Registration Sheet for Clinics & Trail Challenge
Please send check or money order two weeks prior to clinics: 4607 Gardenspot, Deer Park WA, 99006
*Clinics are for students 14 years and older.
Name of Rider:	If under 18, Name of Parent :
Phone Number Where We May Contact You:
Name of Horse:	Age of Horse:
Date of Clinic you wish to attend:	Name of Clinic AIR___ GHB___ IHC___ Trail Challenge___
Please tell us a little about your experience:
Please tell us a little about your horse's experience:
*Please note, you must audit a class and have had at least one private lesson with Jina, or have attended previous clinics with Jina before you can attend these clinics.
I release Northwest Trails, Sally Shepard, Jina Stritzki of any responsibility for accidents, damage or death.
_____________________________________ Signature of Rider - Date	____________________________________ Signature of Parent or Guardian - Date