Hunter/Jumper Clinic Registration Form Cost: $50 for children/$25 for use of school horse $65 for adults/$35 for use of school horse Name: _____________________________________________________ Address: __________________________________________________ City: ____________________________ State/Zip: ____________ Home Phone: (_______)______________________________________ Work Phone: (_______)______________________________________ E-Mail Address: ___________________________________________ To aid us in forming our clinic sessions, please give a brief description of your previous riding and jumping experience: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Tell us about your horse -- age, size, fitness, and condition: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Please return completed registration form and payment to Equilibrium Horse Center Hunter/Jumper Clinics 1685 Underwood Road Gambrills, MD 21054 or fax form to 410-573-0257 Make all checks payable to Equilibrium Horse Center.