Dolly Hannon 2022 Clinic Registration

Preferred communication?*

Phone Email

Are you an ADA Member?*

Yes No

Please provide your membership #*

If not, you must pay for membership BEFORE clinic

Select Location* Lone Tree Stables (Saturday April 30,2022) segment is FULL

Willow Ridge Equestrian Center (Sunday May 1st, 2022)

Time Request (I can not guarantee that everyone will get their noted time but will try to accommodate everyone to the best of my abilities!)*

AM Afternoon PM

Stabling Options

Day Stall $30.00 Overnight Stall $45.00 Haul-in fee $15.00 (Required for all horses not stabling or an active boarder at requested facility)

Payment: Would you like to pay via:*

Check PayPal PayPal via Credit Card

Please upload a negative Coggins test and copy of your flu/rhino vaccination record.

Drop files here or Click to select file.