šRegistration and agreement for clinic participationš

The following are the terms of agreement and application for participation in the Vitor Silva Clinic on the dates of _______________________.

Contact Information:

Name: ______________________________________________________________________

Address: _____________________________________________________________________

Phone Number: _______________________________________________________________

Email Address (optional):_______________________________________________________

Clinic Information:

Riding: ____ Saturday _____ Sunday (check one or both)

(fees for this clinic are $160 for 1 private session; $290 for 1 private session each day)

Auditing: _____ Saturday _____ Sunday (check one or both)

(fees for this clinic are $20 for 1 day; $30 for both days)

Amount enclosed (50% deposit is required at time of registration): $_______

*Make checks payable to Winchester Stables

Overnight Stabling: _____ Yes _____No

(Contact Winchester Stables to obtain reservations and stabling fee information)

Additional Information:

Please provide some biographical information about yourself as a rider and your horse so that we may post it in the clinic program. Feel free to include any areas you hope to focus on/ what you would like to gain from working with Vitor.

Rider Agreement:

No refunds unless your spot can be filled.

Vitor’s policy states that “all photos and video of the clinic should be of that participant’s ride only and for personal use only.”

All horses must have proof of up to date immunizations.

Signature______________________________ Date:_______________