June 15-17th Clinic with Dana Hokana

Clinic Supported by: Valley C Farm Ltd.

Entries will be accepted until May 1st 2018
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: ½ down ($275) for all except auditors. Deposits will be applied to Dana Hokana products or
another clinic in the event of cancellation. REMAINDER OF PAYMENT MUST BE RECEIVED UPON ARRIVAL.

Cheques payable to Valley C Farm:

1 Horse/Rider Combination……………. =$550 __________
Deposit Amount……………………………… =(-$275) ________
Stall Fees (per day)......................... =$50 ________
RV Hookup (with/without power)…… =$20/$10 ________
Total (+ extras below) = ______________

Extras: Pre-purchase preferred.

Shavings: $8/per bag x ______ = $______
Hay: $16/per bale x ______ = $______
Please include costs of extras on your cheque.

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 participant’s deposit may be applied toward another Dana Hokana clinic or Dana Hokana products. 25% of the deposit is
nonrefundable.

Rider’s 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.
You will be emailed/called a week prior to the clinic with your scheduled riding time.

This clinic will happily take place at the Horse in Hand Ranch
outside of Blackfalds, AB. Directions to the ranch are below. You are
also able to search the location on Google Maps.

FROM THE QE2 HIGHWAY: Exit @ Blackfalds overpass and go west.

Turn right (North) at the "South Aspelund Industrial Park" sign (first
road). Keep to the right which will take you East back toward the
Highway 2. Continue to follow the road, which goes from pavement
to gravel, we are the second ranch on the left. Sign at the driveway.

Forms and deposits 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
through email and/or a phone call:
(780) 872-0375
brynnncampbell@gmail.com