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Four Wind Farms Lipizzans |
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Pre – Registration for the Harald Bauer clinic Name:__________________________________________ Address:_________________________________________ Phone:
________________E-mail_____________________ MDA membership
Number____(you do not have to be a MDA member to attend) The Clinic will be held in mid July for
five days approx: 18, 19, 20,21, & 22nd 2007 Which dates are you interested
in Auditing?_________If so which dates ____________________? Which dates are you interested in Riding?________________________________________________ Do you have a preferred time?___________________________________________________________ Do you
wish ride with one other person? ___________(You will pay half price/if a ride partner can be found) Clinic will be
held at: MDA non member fees Lessons
are: $160 with $100
per ride non refundable but transferable deposit required when booking …………………………………………….. MDA Members Audit:
$25 and please bring a covered dish to share. Lessons
are: $150 You may use up to
two MDA work credits one time ( up to a 20.00 value, work credits must be dated within the calendar year of the date they
are received). …………………………………… In Consideration of being permitted
by Maryland Dressage Association Inc., the Clinic/Farm to enter onto the premises and participate in a program or activity.
I hereby agree that I, my assignees, heirs, distributees, guardians, their legal representatives will not make a claim against,
sue, or attach the property of where the clinic will be held in addition to the Maryland Dressage Association inc., or any
of their principals, agents, employees or representatives, for injuries or damages resulting from the negligence or other
acts, conditions, or circumstances, howsoever caused, by any principal. agent, employee, clinician, or representative of the
farm where the clinic is to be held or Maryland Dressage Association Inc. and its representatives. From all actions, claims,
or demands that I, my assignees, heirs, distributees, guardians, or legal representatives now have or may hereafter have for
injury or damage resulting from my presence at The Clinic or from my participation in a program or activity at The Clinic.
___________________________________________. Signature. Date__________________ __________________________________Signature
of Parent /Guardian if rider auditor is under 21. You can mail forms to and make checks payable to
Maryland Dressage Association 5157 Please submit your forms and money now to reserve
your slot limited space available. |
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