2018 YR Clinic Registration Each clinic/lesson is $70 (SAVE $10 by registering before April 18th). Details for these clinics are found HERE. All questions should be directed to Sarah Adams, Area 1 Chair: firstname.lastname@example.org 2018 Young Rider Clinics Participant Information USEA ID * Date of Birth * Must be 21 or younger. Name * First Last * Last Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone * Email * Name of Horse * Goals for Clinic(s) * Riding Experience Level competed at last three outings. Level - Outing 1 * BN N NT T TP P CCI*/CIC* PI I CCI**/CIC** IA A Level - Outing 2 * BN N NT T TP P CCI*/CIC* PI I CCI**/CIC** IA A Level - Outing 3 * BN N NT T TP P CCI*/CIC* PI I CCI**/CIC** IA A Responsible Party/Emergency Contact Name * First Last * Last Phone * Email * Clinics Choose Your Clinic(s) * Jane Hamlin @ Piroette Farm - Sunday, April 22 Stephie Baer @ Coursebrook - Saturday, May 12 Suzie Gornall @ Coyote Spring Farm - Sunday, June 17th John Bourgoin @ High Wind Farm - August TBD Registration Total * Payment Cardholder's Name * First Last * Last Credit Card * Submit If you are human, leave this field blank.