Please return completed form, release, and your check payable to Burkeridge Farm, LLC or Mary Burke @ 1401

Emerson Rd. Ellensburg WA. 98926 Include a signed release form found at www.burkeridgefarmsllc.com Please go to services on our home page to print release form.

Trot Pole / Cavaletti / Dressage Clinic Registration Form

Riders Information:
Age:

Name:

Phone: Email:

Address: City: Riders dressage / trot pole / and jumping experience: State: Zip:

Horses Information:
Horses name: Stabling Requests / $25.00 Per day. Horses dressage level, jump level, special problems or goals please list below:

Clinics Information:
Participation (circle below):
Clinic rider

Fees:
Private / $45, Semi private / $35, stabling / $25 per day $10 / per day per person $10 / per day per horse $10 / per day per dog

Total:

Auditing Haul in fee

Guest dog fee $10.00/day (Must be on leash and with good manners) for safety

TOTAL:
Check payable to Burkeridge Farm LLC

Release: www.burkeridgefarmsllc.com
Please go to Services on our home page to print release form and mail in with form