Winter Clinic Form

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JANE STONE WINTER CLINICS 2014/15
MAPLEBROOK FARM
November 1/2, 2014
Jan 31/Feb 1 2015
Feb 28/Mar 1, 2015
Jane Stone is an Equine Canada certified Level 3 Event coach who was
long-listed to the Canadian Equestrian team and has coached many
horses and riders to competitive success at all levels of the sport.
Join a fun and challenging winter clinic series and develop technical skills needed for
next season. Grid work and technical exercises will be incorporated as well as working
over a full course. Skill development and techniques for both the show jumping and
cross-country will be addressed in Maplebrook’s lovely indoor arena, which has fantastic
footing and gorgeous jumps.
All levels of horses and riders are welcome providing both have some previous jumping
experience. A baby green group will be offered if there are enough to fill a group.
Spectators welcome, there is a heated viewing lounge and great concession.
Clinic cost is $180 per clinic, group lessons of 1 1/2hrs. Please fill out attached clinic
form with Maplebrook waiver and send with cheques payable to Jane Stone.
Send to Jane Stone
3915 Cobble Hill Rd,
Cobble Hill, V0R 1L5
Cheques may be post-dated only up to one week prior to each clinic date. PayPal is
accepted but must be put through one week prior to the clinic.
A discount of $25 will be offered on the last clinic for riders doing all three. Forms must
be received with payment to secure a spot. Cancellations will be refunded less a $25
administration fee with vet or doctors certificate only, unless you are able to find
someone to fill your spot.
For more info contact Jane Stone at hillcrestfarm@shaw.ca or 250-743-3843
Overnight or day stabling is available, please book directly with Maplebrook.
maplebrook@shaw.ca or 250-748-0096
JANE STONE 2014-2015 MAPLEBROOK WINTER CLINIC FORM
Clinician:
Location:
Contact:
Jane Stone EC Certified Level 3 Event Coach
Maplebrook Farm 3590 Cavin Rd, Duncan BC
Jane Stone
hillcrestfarm@shaw.ca Home: 250-743-3843Cell 250-701-8494
Rider:
____________________ Age: _________Email:_________
Address:
___________________________ Phone:_______________
Level of horse and rider: ________________________________________
Dates:
Nov 1/2, 2014
Jan 31/Feb 1, 2015
Feb 28/Mar 1, 2015
$180________
$180________
$180________
($25 discount for 3rd clinic if doing all 3)
Cheques post-dated to one week prior to clinic date will be accepted. PayPal accepted.
Cheques payable to: Jane Stone
Mail to:
3915 Cobble Hill Rd, Cobble Hill BC V0R 1L5
No refunds for cancellation within a week of clinic date without vet or doctor’s certificate
unless you find a replacement rider. $25 administration fee will be withheld. Riders
having participated in the first clinic will have priority for subsequent clinics.
Stabling: Contact Maplebrook Farm for stabling and make payment directly to them
maplebrook@shaw.ca
All riders must fill out the following waiver, parents to sign for juniors.
AGREEMENT FOR RELEASE AND WAIVER OF LIBILITY
I __________________________, request permission to participate in horseback riding and other stable activities at
Maplebrook Farm with Jane Stone.
I fully understand that horseback riding, handling and grooming of horses and other stable activities are very
dangerous. I wish to participant in these activities for myself, my heirs, guardians, and legal representatives release and
agree not to make or bring any claim of any kind against Jane Stone and/or any owners, officers, directors, members,
employees, volunteers, guests, land owners, land holders or other person making property, whether from anyone’s
negligence or not, or any other cause, arising out of my participation in these dangerous horseback riding or related
activities. I also agree that if anyone makes any claim because of any injury to myself (including death) or for any
damage to my property, I will keep all those released by this agreement free of any damages or costs because of those
claims.
Signature of rider: _______________________ Date signed: ______________________
Signature of parent/guardian if rider is under 18 years of age: ______________________
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