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Steve Kanikkeberg NO REFUND UNLESS YOUR SPACE CAN BE FILLED FROM OUR WAITING LIST. Mail checks, payable to Susan Connors, 13841 Vail Rd. SE, Yelm, WA. 98597 *******Payment must be received by Fri. Mar. 16 ******* More info: susanc@ywave.com or (360) 894-3068 Separate & mail lower portion with payment ---------------------------------------------------------------------------- 4/11& 4/12/07 Rider’s name: _____________________________________________________________
Address: _________________________________________________________________
City, State, Zip: _______________________________________email________________
Phone, (home): __________________(work): _____________ (cell)________________
Horse’s name: _____________________________________mare gelding stallion
Horse’s level: ____________________________________________________________
Rider’s level: ____________________________________________________________
Special requests: __________________________________________________________
PLEASE READ CAREFULLY AND SIGN - HARD HATS MUST BE WORN As part of the consideration for services rendered, or facilities furnished, and for use of the arena, stable, vans or any other facility or equipment, I the undersigned, individually and on behalf of my minor children hereby release: Owner of Facilities: Susan Connors Lori Baydo, Karen and John Monaco Organizer: Susan Connors Instructor: Steve Kanikkeberg As well as their offspring and estates and employees from any liability or loss or damage. It is understood that there are certain risks to horse, rider and students involved in the lessons and training and in the use of the facilities: and I agree to assume full responsibility for all such risks and agree that the above mentioned parties will not be responsible for any loss, personal injury damage to my children or me or to horses or property owned or controlled by me, and I hereby indemnify the above mentioned parties against claims of any kind that may grow out of such loss or damage whether occurring on their premises or otherwise.
Signed: __________________________________ Date:_____________________
Adult Witness: _____________________________ Date: ___________________
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JAMES SHAW CLINIC TAI CHI for the EQUESTRIAN Inspire your horse; change hardness into softness Date: March 24 & 25 2007 Saturday& Sunday, March 26, Monday 1 hr privates available. Location: Sue Connors, or (inclement weather) Monaco Stables Yelm, Wa. 98597 Cost: New format, Sat = 2 hr unmounted session and 45 minute semi- pri. mounted, Sun = 2hr unmounted & ½ hr private $230. Optional 1 hr. private mounted session Mon. add’l $95 for clinic participants; $110 for non participants. Payment due by March 3, 2007. No refund unless your space can be filled. Stabling: Very limited on grounds . $25 first night , $20 each add’l night bring your feed. Accomodations: Prairie Hotel, (4 miles from clinic) (360) 458-8300, book ahead. More info: susanc@ywave.com or (360) 894-3068 home and office. ------------------------------------------------------------------------------------------------------------ 3/07 Rider’s name: ____________________________________________________________
Address: ________________________________________________________________
Phone: (home)________________(work)___________________(cell)_______________
Email_________________________. Horse’s name:_______________ mare gldg stud Have you worked with James before?________________________________________ Special requests:__________________________________________________________ Clinic fee: $230 or $305(w/Mon. private). Mon.only $110 Stabling fee (if needed) $25 first night, $20 for each add’l night. Total enclosed $______
Mail checks to Sue Connors 13841 Vail Rd SE Yelm Wa 98597 Payment due by March 3, 2007.
PLEASE READ CAREFULLY AND SIGN - HARD HATS MUST BE WORN or any other facility or equipment, I the undersigned, individually and on behalf of my minor children hereby release: owner of facility and organizer: Susan Connors, Instructor: James Shaw as well as their offspring and estates and employees from any liability or loss or damage. It is understood that there are certain risks to horse, rider and students involved in the lessons and training and in the use of the facilities, and I agree to assume all responsibility for any loss, personal injury, damage to my children or me or to horses or property owned or controlled by me, and I hereby indemnify the above mentioned parties against claims of any kind that may grow out of such loss or damage whether occurring on their premises or otherwise.
Signed_________________________________________date:_________________________________________
Adult witness:___________________________________date:_________________________________________
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