June 10-11th Clinic with Dana Hokana

Clinic Supported by: Valley C Construction Ltd.

Entries will be accepted from April 19 May 22 2017 th nd

All entries must be accompanied by appropriate entry fees. No early entries will be accepted.
Clinic size limited to 18 horse/rider combinations
ALL JUNIOR RIDERS MUST WEAR AN APPROVED RIDING HELMET WITH A
PERMANENTLY ATTACHED CHIN STRAP IN ALL RIDING CLASSES

Name(s):____________________________________________
___________
Address:_____________________City:___________________
___Postal Code:______________
If junior rider (under 18), please indicate age: _______
Home Phone: (____)_________________Cell Phone:
(____)________________
Email:____________________________

Fees:
DEPOSITS: down ($275) for all except auditors. Deposits will be applied to Dana Hokana products or another
clinic in the event of participants cancellation.
Cheques payable to Valley C Construction:

1 Horse/Rider
Combination. =$550
__________
Deposit Amount
=(-$275) ________
Stall Fees (2 nights; Fri & Sat)... =$75
___________
Remainder to pay upon arrival at clinic =
____________

Limited shavings will be available. O.R. Hedges
Lions Campground is located directly to the East
of the grounds please call 403-556-2299 to book.


I, THE UNDERSIGNED HEREBY RELEASE Dana Hokana Quarter Horses, Dana Hokana, her family and heirs, clinic assistants, the clinic
sponsors, barn owners, managers, employees and auditors, from all claims, demands, action or cause of action of any kind or nature whatsoever,
whether now known or ascertained, or which may hereafter develop or accrue me in favor of myself, representatives or dependents, on account of
or by reason of any injury, loss, or damage, which may be suffered by me or them, or to any property animate or inanimate, belonging to me or
used by me, because of any matter, thing or condition, negligence or default whatsoever and I hereby assume and accept full risk of danger or any
hurt, injury or damage which may occur through or by any reason or any matter, thing, or condition, by any person whatsoever.
CANCELLATION POLICY:
In the event the participant must cancel Dana Hokana or a responsible clinic assistant must be notified at least 2 weeks prior to the clinic date,
whereby 75% of the participants deposit may be applied toward another Dana Hokana clinic or Dana Hokana products. 25% of the deposit is
nonrefundable.

Riders Signature:_______________________
Signature of Parent/Guardian (if under 18):_____________________

Let us know a little about you - this will help us place you in
the best group for your skill level:

What is your area of interest with your horse(s)? (i.e.

showing horses, leisurely riding)
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
__________________________
What are you hoping to gain from this clinic?
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
__________________________
How long have you been riding?
____________________________________________________
__________________________
If you could describe your skill level, you would say:
____________________________________________________
____________________________________________________
____________________________________________________
 No straw in stalls. Stalls will be bedded prior to your arrival.
You will be emailed/called a week prior to the clinic with your scheduled riding time.

This clinic will take place at the Caluori Pavilion in Olds, AB. Address
to the grounds is below. You are also able to search the location on
Google Maps.

Olds Regional Exhibition

5116 54 Street
Olds, Alberta

More information regarding location of stabling will be included in the

email containing your scheduled riding time.

Forms and fees mailed to:

Brynn Campbell
P.O. Box 30021
Lloydminster, AB T9V 3L6

If there are any questions or concerns, please do not hesitate to

contact Brynn Campbell or Robyn Duplisea through email
and/or a phone call:
(780) 872-0375 or (403) 862-5535
brynnncampbell@gmail.com or robyn@pleasurehorse.com