Clinic Request Form

Your Name (required)

Your Address

Your Email (required)

Telephone

Location where you intend to hold the clinic

Type of facility available (private barn, fair grounds, show grounds, etc):

Is this your own place or will you be hiring the facility?

Primary riding disciplines in your area (dressage, western, hunters, etc):

Time of year that is best for hosting a clinic:

Have you hosted clinics in the past?

Will the clinic be hosted by you personally or by a club or association
(please list the name of the club):

Please specify the type of clinic you would like to organize:

Number of clinic days requested:

Your Message