30 FOX HILL ROAD
CALIFON, NJ 07830
LINDA ZANG CLINIC June 12 & 13, 2012
ENTRY FORM FOR RIDERS AND AUDITORS
PLEASE PRINT CLEARLY! WE CAN’T REACH YOU IF WE CAN’T READ
YOUR CONTACT INFORMATION.
PLEASE MAKE YOUR EMAIL ADDRESS LEGIBLE!!
Check dates you can ride: Tue. June 12__ Wed. June 13__
Check when you can ride: Morning ____Afternoon____Either one_____
AUDITORS: CHECK WHICH DAY OR DAYS YOU WISH TO ATTEND:
MON.______ TUE.____ WED._____
List any special considerations: (person you trailer with, time you must be finished,
You will be scheduled for ONE SESSION, unless you specify that you want to ride more
than one day, provided space is available. RIDE TIMES WILL BE POSTED AT
www.marilynpayne.com A FEW DAYS BEFORE THE CLINIC. EMAILS WITH
RIDE TIMES WILL BE SENT TO RIDERS ONLY. AUDITORS: CHECK RIDE
TIMES ON THE WEBSITE FOR DAILY START & FINISH TIMES.
Release (Please sign & date below.)
I am aware of the risks and exposures to personal injury involved in equestrian activities,
and I hereby release Applewood Farm, its owners, and all others assisting in any official
capacity on their behalf, from any and all claims for damages which may accrue to me,
my horse, or equipment by reason of any nature, thing or condition while on the premises
of Applewood Farm.
Parent or guardian must sign if rider is under 18.
Riders please complete this section:
Name of Horse:___________________________
Experience of horse and rider (note any specific problems you would like to work on):
Entries will only be accepted if complete, including signature and full payment of all
fees. Please enter ASAP to ensure your spot. Please make checks payable to Applewood
Farm. Fee is $225.00 per riding session, and $25.00 per day of auditing.