GREG BEST CLINIC REGISTRATION FORM

CLINIC NAME: Greg Best Jumping Clinic

DATE: August 29th & 30th 2009

CLINICIAN: Greg Best

LOCATION: AmberWay Stables, 1100 Bird Rd., Ortonville, MI 48462

NAME: USEF/USHJA#:

ADDRESS:

CITY: STATE: ZIP:

PHONE #: CELL #:

EMAIL:

JUMPING SECTIONS - PLEASE CHOOSE 1 SECTION PER HORSE

LEVEL 1 (2'9" to 3'0")

LEVEL 2 (3'0" to 3'3")

LEVEL 3 (3'3" to 3'6")
LEVEL 4 (3'6" to 3'9")

LEVEL 5 (3'9" to 4'0")

LEVEL 6 (4'0" to 4'3")

LEVEL 7 (4'3" to 4'6")

CLINIC REGISTRATION FEES (MAXIMUM OF 3 RIDERS PER SESSION):

USHJA MEMBER

1-DAY: $ 185.00

2-DAY: $ 355.00

NON-MEMBERS

1-DAY: $ 200.00

2-DAY: $ 380.00

1 FREE AUDITOR WITH EACH RIDER

NAME OF AUDITOR:

ADDITIONAL AUDITORS WILL BE CHARGED AS FOLLOWS: $20.00 FOR 1 DAY PASS, $30.00 FOR 2 DAY PASS

STALL RESERVATIONS:

1 Stall: $ 35.00

# of Shavings: $ 8.00 / bag

CAMPER HOOKUP:

1 Spot: $ 35.00

TOTAL AMOUNT DUE: $

ADDITIONAL QUESTIONS / COMMENTS?

Complimentary Lunch & Beverages Will Be Provided To All Clinic Participants As Well As To All Auditors Each Day.

PAYMENT

A 50% non-refundable deposit per horse must accompany your registration form in order to establish your place in the clinic.

Space is limited and registrations will be taken on a first come first serve basis.

A confirmation will be sent once your registration and deposit are received.

* Please Make Checks Payable To: AmberWay Stables

* Membership Dues To USEF / USHJA Must Be Paid With Separate Check

* Only Clinic Participants and Paying Auditors Will Be Allowed In Show Ring Areas.

AMBERWAY STABLES

ATTN: GREG BEST CLINIC

1100 BIRD RD.

ORTONVILLE, MI 48462

p) 248.627.4233