ERIC DIERKS EQUESTRIAN CLINIC

May 21-22, 2016

Katanuma Performance Horses Rock Hill, SC
Eric is an accomplished four-star rider that has trained numerous horses to the Advanced Level in
eventing; and also has a variety of experience in the Hunter-Jumper discipline. Eric is a Graduate A
member of the United States Pony Club, has participated in the USET Rider Development Program, and
is able to share his knowledge with riders of any discipline; from beginner to advanced.

SEMI-PRIVATE: $210 for both days; groups of no more than 4 riders

PRIVATE: $250 for both days
STABLING: Limited stabling available; $15/day; self-care
AUDIT FEE: $10 per day; or $15 for both days

Directions: From I-77; take the US 21-S exit 82 B-A toward Rock Hill. Merge onto Cherry Rd. In 5 miles, Cherry Rd
becomes McConnells Highway, SC-322. Proceed another 4.2 miles, and Triple Creek Rd will be on your left.
Note: All fees must accompany this signed and completed form to make a reservation.
CURRENT NEGATIVE COGGINS REQUIRED FOR ALL RIDERS
For additional information; contact:
Ivy LeDonne 704-965-1407 ivyledonne@gmail.com
Becca Macanas 704-609-6285 thaliafarm@gmail.com
Checks may be made payable to Katanuma Performance Horses. Check and entry form may be mailed to:
Katanuma Performance Horses
700 Triple Creek Rd
Rock Hill, SC 29732

Eric Dierks Clinic Entry Form

Rider Name:________________________________ Horse: _________________________________
Address:___________________________________________________________________________
Phone Number:__________________________ Email:_____________________________________
Current Discipline: _______________________ Rider Experience Level: _______________________
In consideration of the privilege of participating in the above equine activities; the undersigned does hereby agree to assume
all risks inherent in all equine related activities, including but not limited to the bodily injury, death, and physical harm to
property, including the horse, owner, or guests to the premises. The undersigned further agrees to hold harmless Katanuma
Performance Horses, or any associates, contracted laborers, assistants, property owners, or lessors, from any liability, claims,
or causes of action for death, damage, injury, illness; or any other harm to person, animal, or property, and agrees to
indemnify Katanuma Performance Horses and all associates from any claims made by any member of the undersigneds
family or spectator brought to the property. Such release is intended to waive any and all liability of Katanuma Performance
Horses of whatever kind and nature, including but not limited to negligence, gross negligence, willful misconduct, faulty
equipment of any kind, and failure to correctly determine the ability of the undersigned, or any member of his/her family, or
other person brought to the property, to engage safely in any equine activity. WARNING: UNDER THE SOUTH CAROLINA
EQUINE LIABILITY ACT, AN EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO, OR THE DEATH OF, A
PARTIPANT IN AN EQUINE ACTIVITY RESULTING FROM AN INHERENT RISK OF THE EQUINE ACTIVITY.

I hereby acknowledge that I have read and agree to the above:

Client/Riders Name: _____________________________________ Age (If under 18):___________________
Signature: ________________________________________________________________________________
Parent/Guardian Name:_____________________________________Must be signed by parent/guardian if under the age of 18