IDS Sponsored Clinic Application Form

IDS Sponsored Clinic Application Form Three-Day Clinic with J. Ashton Moore, September 8-10, 2017 Being Held at Bit Whip Farm 7350 South 775 East, Zionsville, IN 46077

Rider Name Address

City State Zip

Horse’s name Gelding Mare Stallion Age Horse’s level of training highest level rider has ridden

Phone (Home) (Cell) (Work)

IDS Member: Yes No Email Address

Date: (check days needed) Sept. 8 Sept. 9 Sept. 10

Date of Arrival: Date of Departure

Special Stabling needs: Fees: Clinic Fee (Rider) $ IDS members: $160 per 45 minute session, Non-IDS members: $185 per 45 minute session

Clinic Fee (Auditor): $ IDS members FREE: non- IDS members: $25/day; Or $60/full clinic

Stabling Fee $ $35/night – includes bedding & daily stall cleaning

Haul in Fee $ $10/day

Lunch Fee $ $7.50 per day

Total Enclosed $

Opening Date for September Clinic: Wednesday, August 23, 2017 Preference will be given to riders electing to schedule all three days. Next priority will be given to riders electing to ride two days followed by those electing to ride one day. 1. Applications with a postmark prior to the opening date or not accompanied by full payment will be automatically rejected. 2. Please attach a valid copy of a negative coggins (within 12 months). 3. Rider selection will be on a first-come basis based on receipt of fully completed and paid in full applications. 4. NO REFUNDS: Rider is responsible for filling spot should he or she be unable to ride. 5. In the event the clinic is oversubscribed on opening date, participants will be selected by lottery with preference given to IDS members with COMPLETE (i.e. coggins) applications. Riders will also be limited to one ride per day on each horse if clinic is oversubscribed. 6. Walk-in Auditors are welcome, but cannot be guaranteed to have lunch available. Return to: Bonna McCuiston, 23014 West Rd., Sheridan, IN 46069, 317 403-6202, [email protected]