Bomb Proof your horse reservation form De Spooking Spook Proof

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Reservation Form Spook Proof your Horse riders age 10-? horses ages 3+ Breezy Bluff Riding Academy 3634 N 685 East Rd McLean, IL 61754 309 874 3190 cell 309 826 8999 Your Name _______________________ age_____ rider(under 18 need parental consent) ____ auditor____ Horse’s Breed ______________________age _________ Address __________________________________________phone ( )___________ City______________________________________ State_____ zip________ Email address ____________________________________@__________________ reservation balance due One horse and rider $125 reservation One team horse/rider/auditor $185 reservation no unpaid spectators allowed One Auditor 2 day $ 70 One Auditor 1 day $38 Camp site no hookups $10 only for those stalling on the farm Board for my Horse $ _full____ @ $30 Fri night estimated arrival time ___PM (not before 5pm) Board for my Horse $ full ____@ $45 Friday and Saturday night Board for my Horse $ full ____ @ $30 Saturday night only Total included $ ______ Total due upon arrival $ __________ board must be paid fully in advance I Understand I am expected to sign the risk waiver form and that I am subject to the Illinois Limited Liability Act as posted on the farm. Coffee and lunch are provided but You are welcome to pack a lunch. Fast food close by. The question and answer sessions during lunch should not be skipped. There is a pop machine and bottled water for sale at the farm. There is State Park horse camping within 45 min. $15/night Local barn references can be supplied (see downloads to get risk waiver form) RIDERS • Must 18 or over or have parental consent signed • Sign all waivers • Bring adequate riding equipment for you and your horse. This includes proper footwear and an SEI approved riding helmet(Helmets will be available for lease, a $50 CASH deposit will be required, if the helmet is returned exactly as taken $40 will be refunded) • Current negative Coggins’ test will be shown for each horse entered • Submit a non-refundable reservation fee to hold your place

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