13356 347th Street - Lindstrom, MN 55045 * 651-213-1266 *
Clinic Registration Form
Please indicate which clinic(s) you are registering for:
Clinic Date:______________________
Clinic Price:______________________
Clinic Description:_____________________________________________
Please include ½ of clinic fee to reserve your spot and balance is due w/I
30 days of clinic-Make Checks payable to Oasis Equestrian Center
_____________________________________________________________
Name Phone
_____________________________________________________________
Address City State Zip
_____________________________________________________________
Email address Emergency Contact Name/Phone
Forms that must accompany registration form from each participant:
_____Current Negative Coggins within last year
_____Vaccination Verification (tetanus, sleeping sickness, influenza, west nile and strangles). If you do your own vaccinations a signed document will be accepted. If you do not have a specific vaccination listed and choose not to get the horse vaccinated, please provide written verification that you understand the risk associated with not vaccinating and that you are willing to take that risk and remove any liability from Oasis Equestrian Center.
_____Initialed copy of Addendum A (Inherent Risk Associated with Livestock)
_____Activity Release & Hold Harmless Agreement (Addendum B)
_____Initialed copy of Oasis Equestrian Center Rules
_____Release of Liability Parent/Minor (if appropriate)
_____Helmet Waiver (if applicable)
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