Jeff Cook Jumping Clinic Registration Form

Please initial or check the session for which you are registering on the chart below. Use a separate form for each participant. All sessions are limited to a maximum of 6 riders. Preference will be given to riders participating in both days. In order to reserve a spot, we must receive a completed registration form and a check made out to Ridgefield Arena. No phone or email reservations will be accepted. Spaces are given out on a first come, first served basis. You will receive a phone call to confirm that we have received your registration. If you have any questions, please call Annie Vibbert at (636) 527-3624.

Section A Fences Up to 2 Section B Fences Up to 29

9:00am 11:00am 11:30 am 1:30pm

Sat _____ Sun _____ Sat _____ Sun _____ Sat _____ Sun _____

Section C Fences 3 and over 2:30pm 4:30pm

Riders Name __________________________________________________ Parents Name (if under 18) ______________________________________ Home Phone _____________________ Cell Phone ___________________ Email Address _________________________________________________ Home Address _________________________________________________ _________________________________________________
Stalls are available for $70 and can be used from Friday afternoon thru Sunday. Would you like to reserve a stall? Yes ________ No ________

Would you like to be notified of any future clinics held at Ridgefield Arena? Yes ________ No ________

Fees (Check or money order only. Please make checks out to Ridgefield Arena.)
Sessions _____ @ $375 for 2 days _____ @ $200 for 1 day Stall Fee _____ @ $70 $________ $________ $________ Total $________ Please send the completed form and your check to Ridgefield Clinics c/o Flo Anne Krampe at 919 Sheffield Forest Ct Ballwin, MO 63021