Skip to content
Selena O'Hanlon Eventing Clinic - July 12-14, 2024
At Venturing Hills Farm
Thank you for taking the time to fill out this registration form.
Please note that participants will be riding in same-level groups for this clinic, except for private dressage sessions!
OK
1.
Parent Last name
2.
Parent First Name
3.
Parent Phone Number
4.
Parent Email Address
5.
Participant Last Name (if different from above)
6.
Participant First Name (if different from above)
7.
Participants Date of Birth (DD/MM/YEAR)
8.
Which Clinic sessions with Selena would you like to participate in ?
Full Clinic (645$ + tax)
One Day (215$ + tax)
Two Days (430$ + tax)
9.
Participant level:
Starter
Pre-Entry
Entry
Pre-Training
Training
Prelim
Intermediate
10.
Any injuries or health conditions we should be aware of?
If yes : please describe
11.
Emergency Contact Name:
12.
Emergency Contact Number:
13.
Any special time or group requests?
14.
Is this your first time riding for Selena?
Yes
No
15.
Will you be requiring lunch? If yes, specify which day and any food intolerances/allergies.
Current Progress,
0 of 15 answered
