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Glenmore Hunt Foxhunting Clinic Registration
Please fill out the Registration Form. Payments can be made through Glenmore Hunt's website PayPal or on-site.
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* Indicates required question
Waiver acceptance and signature for Glenmore Hunt:
*
To view and read the waiver please click the link
https://docs.google.com/document/d/1HqrHPmw-446B8OZviTv5qfA7ShEUY-OdGvPNs0HVD0E/edit?usp=sharing
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the waiver.
Required
Electronic Signature
*
Please type your first and last name
Your answer
Electronic Signature for a minor
Please type your first and last name of parent or legal guardian
Your answer
Rider Information
Name of Rider
*
First name
Your answer
*
Last name
Your answer
E-mail address
Your answer
Mailing address
*
street
Your answer
*
city
Your answer
*
state
Your answer
*
zip
Your answer
Phone number
Your answer
Emergency Contact Information
*
Please list a person of contact name
Your answer
*
phone number
Your answer
*
relationship
Your answer
Please list any known medical conditions that may be pertinent in case of an accident
Your answer
How did you hear about our Foxhunting Clinic
*
Please check all that apply
Glenmore Hunt member
Friend/Family
Email notice
Facebook (if in a group, please list name of group under other)
Google group or other social media
Flier
Newspaper
Other:
Required
Would you like to be added to Glenmore Hunt's email list and receive notifications of other available events?
Please note that we DO NOT share your information with ANYONE and the notices will be limited to Glenmore Hunt activities and events.
yes
no
Clear selection
Horse Information
Name of horse
*
Your answer
Coggins Accession #
(please bring a copy to the event if not sent in at the time of registration)
Your answer
Date drawn
Your answer
State
Your answer
Horse owner
same as rider
Name
Your answer
Address
Your answer
phone number
Your answer
email
Your answer
Method of Payment
Please select your method of payment below. Note the credit card link is on our website. For questions regarding payment please email
marylee@glenmorehunt.com
What method of payment will you be using?
*
credit card/ Pay Pal
bringing payment day of event
Clinic Questionaire
Please answer the below questions so the clinicians can best determine groups for maximum fun, safety, and education.
Have you ever foxhunted?
*
Yes
No
If so, Which flights?
First Flight
Second Flight
Third Flight
Clear selection
What height have you jumped your horse? (mark n/a if you do not jump--not required)
Your answer
Have you walk, trotted and cantered in open fields?
Yes
No
Maybe
Clear selection
Using the descriptions below, which flight would like to join?
1st flight- Able to walk, trot, canter, jump up to 3 ft
2nd flight- Able to walk, trot, canter, jump small logs etc
3rd flight- Able to walk, trot, and brief canter
I'm not sure, I'll let the clinician decide.
Please be mounted and ready to ride by 9:00 am Hard hat required and BYO bagged lunch. Contact Mary Lee McDavid, MFH at 540.292.9634 or
marylee@hoppinfoxfarm.com
if you have any questions
Your answer
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