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Natasha Fry Hunter/Jumper Clinic, August 14th, 2024
At Venturing Hills Farm
Thank you for taking the time to fill out this registration form.
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 Nat would you like to participate in ?
Full Clinic (150$ + tax)
9.
Any injuries or health conditions we should be aware of?
If yes : please describe
10.
Emergency Contact Name:
11.
Emergency Contact Number:
12.
Any special time or group requests?
13.
Is this your first time riding for Natasha?
Yes
No
14.
Will you be requiring lunch? If yes, specify which day and any food intolerances/allergies.
15.
Participant level:
X's, small verticals
Verticals and oxers 2'6
Verticals and oxers 2'9
Verticals and oxers 3'+
Current Progress,
0 of 15 answered
