Reinsman

 

Farnam Horse
 

Sharon Camarillo Clinic Registration Form

August 2-3    Fundamentals and Horsemanship

LOCATION Waimea on the Big Island, Hawaii
SPONSORED BY Pudding Lassiter and Keala Zoll
PHONE

(808) 964-5454 or
(808) 964-5253

PAYMENT ADDRESS

PO Box 8
Papaikou, HI 96781

Step 1: Clinic Registration Form

First time and repeat students are welcome to attend our Fundamentals and Horsemanship clinic.

If attending this clinic for the first time, we recommend that you review The A.R.T. of Barrel Racing, a Sharon Camarillo Western Horseman book.

All students are required to bring existing training and competition equipment.

Are you a repeat student? YES     NO

Choose one payment option below:

 
Pay entire $425 entry fee now

Pay $225 deposit now
   
YOUR NAME Enter your name.
ADDRESS Enter your address.
CITY Enter your city
STATE Enter your state.
ZIP Enter your zip code.
EMAIL Enter your email address.Enter a valid email address.
PHONE (day) Enter your daytime phone.
PHONE (eve) Enter your phone number.

NAME OF RIDER

(If different from registrants name)

EMERGENCY CONTACT Enter your emergency contact's name.
RELATIONSHIP
EMERGENCY PHONE Enter your emergency contact's phone number.

Will you need stalling information?

Please note that stallions are not allowed without approval. For more information, please contact us.

YES      NO 
Will you need hotel information? YES      NO 

Step 2:    Submit Form and Send Payment

Your registration will not be finalized until we have received either the deposit or the full fee. Please remit a check for the non-refundable deposit or a check for the full fee. When you are satisfied that the information on this form is complete and correct, please print this page for your records and hit the "Submit" button below.

CHECKS PAYABLE TO Keala Zoll
PAYMENT ADDRESS

PO Box 8
Papaikou, HI 96781