Clinic Entry Form

Henk Glijn Dressage Clinic

*SATURDAY ENTRY FORM*

This form is for 1 Horse/1 Rider

Rider Name

First

Last

Horse Name

HCBC #

You are REQUIRED to have an active HCBC membership to attend this clinic.

Test Level

Preferred Lesson Time

Morning
Afternoon
No preference

Please note that preferred times are not guaranteed.

Email

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have a VDRC Membership for the current calandar year?

Yes
No

Waiver

VDRC JR/SR WAIVER HERE

Please follow the link above and fill out the respective waiver (over or under age of majority), then upload your completed form below

Completed Waiver File Upload

Click or drag a file to this area to upload.

Please upload your file here

VDRC VACCINATION FORM HERE

Please follow the link above to fill out the vaccination form, then upload your completed form below

Completed Horse Vaccination Form Upload

Click or drag a file to this area to upload.

Please upload your file here

Fees & Payment

Clinic Lesson Fee

Please select your respective fee.

Please select any stabling (and for how many days) you require.

If hauling-in, do not select any stabling.

**If you are signing up for multiple days of the clinic, and will be filling this form out for multiple days, you are welcome to pay for all your stabling needs in one form. (Or, you may pay separate stabling fees on each form for each day)

Box Stall Overnight Use - VDRC MEMBER

Covered Pen Overnight Use - VDRC MEMBER

Open Pen Overnight Use - VDRC MEMBER

Box Stall Overnight Use - VDRC NON-MEMBER

Covered Pen Overnight Use - VDRC NON-MEMBER

Open Pen Overnight Use - VDRC NON-MEMBER

+5% GST

Price: $0.00

Total

$0.00

Stripe Credit Card