Intro to Vaulting Clinic - Nation Valley Ranch - February 15th

At Venturing Hills Farm

This is a survey for people to register for the Intro to vaulting clinic. A fun way to spend a winter day and learn fun new skills $90 for single session, $150 for horse/rider double session

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* 1. Parent Last name

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* 2. Parent First Name

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* 3. Parent Phone Number

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* 4. Parent Email Address

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* 5. Participant Last Name (if different from above)

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* 6. Participant First Name (if different from above)

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* 7. Participants Date of Birth (DD/MM/YEAR)

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* 8. Which Clinic sessions with NVR would you like to participate in ?

Sunday January 5th Adult Learn to Vault Session (90 $ + tax) 1.5 - 2 hours

Sunday January 5th Youth Learn to Vault Session ($90 + tax) 1.5-2 hours

Sunday January 5th Teaching Your Horse to be a Vaulting Horse Session (90$ + tax) 1.5 - 2 hours

Sunday January 5th Teaching Your Horse to be a Vaulting Horse Session + Adult Learn to Vault session (150$ + tax) 1.5 - 2 hours

Sunday January 5th Teaching Your Horse to be a Vaulting Horse Session + Youth Learn to Vault session (150$ + tax) 1.5 - 2 hours

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* 9. Have you ever done vaulting before

Yes

Intro to Vaulting Clinic - Nation Valley Ranch - February 15th

At Venturing Hills Farm

Question Title

* 1. Parent Last name

Question Title

* 2. Parent First Name

Question Title

* 3. Parent Phone Number

Question Title

* 4. Parent Email Address

Question Title

* 5. Participant Last Name (if different from above)

Question Title

* 6. Participant First Name (if different from above)

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* 7. Participants Date of Birth (DD/MM/YEAR)

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* 8. Which Clinic sessions with NVR would you like to participate in ?

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* 9. Have you ever done vaulting before

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* 10. Any injuries or health conditions we should be aware of?
If yes : please describe

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* 11. Emergency Contact Name:

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* 12. Emergency Contact Number:

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* 13. Any special time or group requests?

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* 14. Do you any food intolerances/allergies we need to be made aware of?

Intro to Vaulting Clinic - Nation Valley Ranch - February 15th

At Venturing Hills Farm

Question Title

* 1. Parent Last name

Question Title

* 2. Parent First Name

Question Title

* 3. Parent Phone Number

Question Title

* 4. Parent Email Address

Question Title

* 5. Participant Last Name (if different from above)

Question Title

* 6. Participant First Name (if different from above)

Question Title

* 7. Participants Date of Birth (DD/MM/YEAR)

Question Title

* 8. Which Clinic sessions with NVR would you like to participate in ?

Question Title

* 9. Have you ever done vaulting before

Question Title

* 10. Any injuries or health conditions we should be aware of?If yes : please describe

Question Title

* 11. Emergency Contact Name:

Question Title

* 12. Emergency Contact Number:

Question Title

* 13. Any special time or group requests?

Question Title

* 14. Do you any food intolerances/allergies we need to be made aware of?

* 10. Any injuries or health conditions we should be aware of?
If yes : please describe