<p>Eric Dierks Eventing Clinic Entry Form Date: July 15 & 16, 2017 Where: Rolling Rock Hunt Pony Club Grounds, Ligonier PA Clinic Costs: $225/rider for weekend $120 dressage private $25 Stabling Fri.-Sun. Closing Date: June 15, 2017 Please mail completed entry form, current coggins, and check made payable to “Rolling Rock Hunt Pony Club” to Colleen Mauro 218 Stoney Springs Rd Greensburg, PA 15601</p><p>Rider Name: Rider Age: </p><p>Rider email: </p><p>Rider Address: </p><p>Name of Horse: </p><p>Rider Experience: </p><p>Horse Experience: </p><p>Please circle which group you would like ride with:</p><p>Starter Beginner Novice Novice Training</p><p>Dressage Private (space is limited)? Yes No</p><p>Stabling (please circle)? Yes No</p><p>Stabling Requests: </p><p>Any questions please contact Colleen Mauro at [email protected] or call/text 412-736-1112</p>