Clinic Capricorn Equestrian Centre May 18th / Clinic 291 Mount Wheeler Road (Via Mackays Rd) Date of Clinic 19th Venue Yeppoon 2019 Full Name of Participant/s: Postal Address of Participant: Mobile: Email: How would you Beginner Intermediate Experienced Non-professional Trainer Walk Nervous Professional Trainer Instructor describe your riding Trot Confident trail riding western pleasure Dressage Eventing ability and interests Canter Competitive Showing Hacking Pony Club Please circle/highlight Gallop Reining Cutting Camp drafting Other (please state) those which apply to you If so which clinic did you basic horsemanship, reining Have you done a clinic Yes / No cutting complete? with Ian Francis camp drafting Please circle/highlight before? Y/N stockman's challenge Topics you would like to focus on (if any preference) Number required Total amount FEE Participant $470 sitter 1 Day $70 2 Days $140 Overnight yard $10 per night Bunk $15 per night accommodation Camping $10p/p/night (Camping free for clinic riders) TOTAL We will only hold a Min $100 non-refundable riding upon deposit/ OR PAYMENT IN payment of a deposit FULL Fence sitters can also Payment in full 22nd April 2019 PAID: pay on the day DIRECT DEPOSIT: Please return form via email Capricorn Equestrian Centre Macquarie Bank or send to BSB : 184 446 Madeline Chery, 159 Mulara Road, Acc: 118 974 823 Bondoola, Qld, 4703 Please reference payments with IF and your surname Payments can be made over the phone with eftpos in the evenings
Clinic Clinic Venue Capricorn Equestrian Centre 291 Mount Wheeler Road (Via Mackays Rd) Yeppoon Date of Clinic May 18th / 19th 2019 Full Name of Participant/s: Postal Address of Participant: Mobile: Email: How would you describe your riding ability and interests Please circle/highlight those which apply to you Beginner Intermediate Experienced Non-professional Trainer Walk Nervous Professional Trainer Instructor Trot Confident trail riding western pleasure Dressage Eventing Canter Competitive Showing Hacking Pony Club Gallop Reining Cutting Camp drafting Other (please state) Have you done a clinic with Ian Francis before? Y/N Yes / No If so which clinic did you complete? Please circle/highlight basic horsemanship, reining cutting camp drafting stockman's challenge Topics you would like to focus on (if any preference) FEE Number required Total amount Participant $470 sitter 1 Day $70 2 Days $140 Overnight yard $10 per night Bunk accommodation $15 per night Camping (Camping free for clinic riders) $10p/p/night TOTAL We will only hold a riding upon payment of a deposit Min $100 non-refundable deposit/ OR PAYMENT IN FULL Fence sitters can also pay on the day Payment in full 22nd April 2019 PAID: DIRECT DEPOSIT: Capricorn Equestrian Centre Macquarie Bank BSB : 184 446 Acc: 118 974 823 Please reference payments with IF and your surname Please return form via email or send to Madeline Chery, 159 Mulara Road, Bondoola, Qld, 4703 Payments can be made over the phone with eftpos in the evenings
IF-Capricorn-Entry-_2019.docx