Clinic Registration Form

Date and location of clinic:

Please check only one:
Participant / RiderAuditor

Personal details:

Emergency Contact Information
(everyone attending)

Horse Information

Any known safety issues/concerns?

Any known medical conditions?

Please describe your current activities with your horse and your current Level on Ground Skills and Riding, as well as any issues you have with specific tasks:

Any special needs for rider or horse please describe

Note:

If Kelly Sigler deems a horse too unsafe to participate, she reserves the right to ask the student to no longer participate with that equine.
If you are pregnant, please notify Kelly prior to registering for a clinic/workshop.

Please remember to bring your horse’s Coggins and Health Certificate.


Payment Information:

All Participants and Auditors MUST have their registration form and fee submitted prior to the clinic date unless previous arrangements were made with Kelly Sigler.

Deposit amount to be paid at time of registration with balance due to be paid no later than 30 days prior to the clinic date.
Additional fees for the Facility, Stabling, Meals, Lodging, Hook-ups, etc. are to be paid upon arrival at the check-in area.

Pay by Check/Money Order: “Pay to the Order Of – Kelly Sigler” with “Clinic Name, Date, and Location”
Pay by Credit Card: Payment can be made via Kelly’s PayPal Account. Email Kelly if you would like to do this,
and she can send you a link to PayPal to make this easy!

Contact Kelly Sigler if you have any further questions:
Phone: 803-522-4395
E-mail: ks@kellysigler.com