~ Clinic Registration Form~ Joe Wolter ~ Horsemanship, Cow Work, Ranch Roping & Colts Clinic Date: November 4-5-6, 2016 Return clinic Registration, Release and Check Payable to: Cottonwood Creek Equestrian Center, Gail Bloxham 18550 Evergreen Rd., Cottonwood, CA. 96022 530-347-0212 cottonwoodcreekequest@gmail.com Name______________________________________________________________________ Address_____________________________________________________________________ City _____________________________State ____________Zip________________ Home Phone _______________________Work Phone________________________ Cell Phone ________________________Email Address___________________________________ How did you hear about this clinic:______________________________________ Your $350.00 deposit reserves your rider spot. Rider spots held verbally for 5 days. Payment in full must be received by Oct. 4, 2016 ………. Deposits are non-refundable.……….See Fact Sheet for Additional Information ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Clinic Rider: Register by Sept. 4, 2016 ~ $795.00………..………………………….__________ After Sept. 4, 2016 ~ $850.00………..………………………….__________ Cattle Fee: 2 days………. ~ $140.00……………………………………___$140.00__ Clinic Fee Includes Lunch Colt Start/Green Horse: ~ $600.00 per colt (limited to 6 colts) …………….………. ____________ Overnight Stall : ~$25.00 per night x (#)____nights =………………………………….. ___________ (please bring your own buckets, bedding & hay) Arrival date & approximate time ________________________________________ Overnight Camping: No Hookups/dry camping only ~ NO CHARGE in 2016 Yes_____ No______ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Auditor: (circle clinic date requested) Nov. 4….5…..6 Pre-Registered ~ $20.00 per day X ____ days ...............................................……………. __________ Day of Clinic ~ $30.00 per day Please bring a comfy Chair - No refunds for cancellations or no shows. TOTAL DUE :………………… _____ ________ Amount Paid:_____________ Balance Due by Oct. 4, 2016:_____________ Paying By Credit Card Credit Card #_____________________________________CVC#________ EXP Date: _____________ Please check: VISA ( ) Mastercard ( ) Signature:_____________________________________ 1 EQUINE ACTIVITY RELEASE & HOLD HARMLESS AGREEMENT COTTONWOOD CREEK EQUESTRIAN CENTER 18550 Evergreen Rd., Cottonwood, CA. 96022 530-347-0212 cottonwoodcreekequest@gmail.com 1. 2. 3. 4. 5. I, the undersigned have read and understand, and freely and voluntarily enter into this Release and Hold Harmless Agreement with Cottonwood Creek Equestrian Center (Company), understanding that this Release and Hold Harmless Agreement is a waiver of any and all liability(ies). I understand the potential dangers that I could incur in mounting, riding, walking, boarding, jumping, feeding said horse; including, but not limited to, any interactions with other horses. Understanding those risks I hereby release that Company, its officers, directors, shareholders, employees, sub-contractors, trainers and anyone else directly or indirectly connected with that Company from any liability whatsoever in the event of injury or damage of any nature (or perhaps even death) to me or anyone else caused by on incidental to me electing to mount and ride a horse owned or operated by Cottonwood Creek Equestrian Center. I understand and recognize and warrant that this Release and Hold Harmless Agreement, is being voluntarily and intentionally signed and agreed to, and that in signing this Release and Hold Harmless Agreement I know and understand that this Release and Hold Harmless Agreement may further limit the liability of equine professionals to include any activity, whatsoever, involving an equine, including death, personal injury and/or damage to property. I recognize and agree that I know which equine professional(s) I will be working with, and acknowledge that I agree said equine professional(s) has/have made reasonable and prudent efforts to determine my ability to engage in the equine activity, and has/have sufficient knowledge of my equine and horseback riding skills as to relieve, release and hold harmless said equine professional(s) from any continuing duty to monitor my equine activities. I further voluntarily agree and warrant to Release and Hold Harmless this (these) equine professional(s) from any liability whatsoever, including, but not limited to, any incident caused by or related to said equine professional’s(s’) negligence, relating to injuries known, unknown, or otherwise not herein disclosed; including, but not limited to, injuries, death or property damage from: mounting; riding; dismounting; walking; grooming; feeding; use of horse barn; use of arena; round corral, playground, paddock, trails or horse ring, in any capacity; falling off horse whether horse is bucking, flipping, spooked; or my failure to understand any equine professional’s directions relating to my riding or otherwise use and control, or lack thereof, of my horse or the horse I have been assigned to. Person voluntarily entering into this Release and Hold Harmless Agreement Date: __________________________ Name: Signature:_________________________ Address: _________________________ ____ Phone: ___________________________ If you would like to receive our Newsletter please provide your email address ________________________________________________ Parent or Guardian if above is under age 18: Name: ____________ ______ Age(if a minor) _________ Signature__________________________ 2 Information Sheet - Cottonwood Creek Equestrian For additional information & questions contact: Gail Bloxham 18550 Evergreen Rd., Cottonwood, CA. 96022 530-347-0212 cottonwoodcreekequest@gmail.com www.cottonwoodcreekequestrian.com Joe Wolter~Horsemanship, Cow Work, Ranch Roping & Colts November 4-5-6, 2016 FEES: Clinic Rider: Includes Lunch each day Register by Sept. 4, 2016 ~ $795.00. Cost if you register after Sept. 4, 2016 ~ $850.00 Your deposit of $350.00 reserves your rider spot!!! I will hold rider spots verbally for 5 days. Payment in full to be received by October 4, 2016. Deposits are non-refundable. Cancellations: See Below Cattle Fee: Cows will be worked 2 days of the clinic. Clinic Start Time: 9:00am to 4:30pm Rider Spots – Minimum of 10 riders and a maximum of 12 riders Auditor: (Please bring your own comfy Chair) We do have bleachers. Pre-Registered $20.00 per day or on the Day of Clinic $30.00 per day. No refunds for cancellations or no shows. Overnight Stall Fees: $25.00 per night You are responsible for your own horse – feed, clean, etc. Please bring your own water buckets, feed and bedding. Bedding can be purchased at $10.00 per bag and stall cleaning is available at $5.00 per day should you want a true vacation. Overnight Camping: No Hookups, dry camping only ~ NO CHARGE in 2016 Checks payable to: Cottonwood Creek Equestrian Center (CCEC) Clinic Description: Day 1: Horsemanship These classes are designed to help develop a stronger horse and rider partnership. The emphasis is on building the skills needed to advance the rider toward their goals, whether on a ranch, on the trail, or in the show ring. Riders of all levels and disciplines will benefit from Joe’s insights and deep understanding of the horse-human connection. Day 2 & 3: Cow Working Cow working classes are for any rider wishing to start their horse on cattle, or to further advance a horse already working cattle. Riders learn about position, timing, pressure points and how to utilize their horsemanship skills to track, sort and cut cattle. The emphasis is on horse 3 and rider teamwork, developing a horse that truly wants to work a cow and on using low-stress livestock handling techniques that pay off on the ranch and in the show ring. Day 2 & 3: Ranch Roping Joe, in concert with Bill Dorrance, is credited with starting the first ranch roping clinics over 25 years ago. He has a vast amount of knowledge and experience to share with riders who not only want to improve their skills with a rope but also want to further develop their horses for ranch work. Joe focuses on the shots and techniques needed for doctoring, branding and other day-to-day chores encountered on a working ranch. Students will have an opportunity to work in a herd and with other ropers to hone their cattle handing skills and advance their abilities to work as a part of a team. All 3 days: Colt Starting (offered before and after regular clinic hours)-Limited to 6 horses. The colts will be worked with before and after clinic hours and possibly during lunch break should he feel it is necessary for the colt. Cost is $600.00 per colt. This class is for horses that haven’t yet been ridden or may have been ridden, but are still very green or have some problems that might be helped by restarting with a different approach. While Joe may work with each horse individually, the intent is to help every rider prepare their horse and ride it themselves for the first time. Joe’s ultimate goal is for each horse to be moving freely with a rider so that they leave the clinic with a solid foundation on which to continue further training. Cancellations: Cancellations are handled on an individual bases. Deposits are non-refundable. If a rider or horse becomes unable to complete the clinic, no refund will be given as the Ride/Clinic host or instructor cannot be responsible for unforeseen problems. Video & Audiotaping: You are welcome to take still pictures during the clinic and colt starting. However, Videotaping is not allowed. Horses: The State of California requires all horses entering the state to have a Negative Coggins within the last 12 months. This test takes some time, so if traveling from out of state, please plan ahead. Your horse should be healthy and in good shape – you will be in the saddle most of the day. You should be able to walk, trot and canter comfortably on a loose rein. Horsekeeping: Please try to arrive before dark as it makes it easier to find your way around. The stalls are covered. If you need or want shavings they are available to purchase or you can bring your own. Bring a water bucket and your feed. You are responsible for cleaning your own stall daily and before you leave. If stalls are not clean upon departure you will be charged an additional $25.00. Hay: If you need to purchase hay, the local feed store, Shasta Feed 530-347-6033 has good quality Hay. 4 Directions to Cottonwood Creek Equestrian Center Cottonwood is located between Redding & Red Bluff on Interstate 5. From I 5 Take Bowman Road exit. Go West on Bowman Rd. for 3 miles. Turn Right on Evergreen Road. Go 1 mile. We are on the right – Sign out front - you can see the covered arena from the road. Lunch & Breaks There will be a break for lunch and is included in rider fee. Auditors are welcome to purchase lunch on site. Lodging The following Motels are located within a short distance. Please make sure to say you are attending an event at Cottonwood Creek Equestrian and ask for the corporate rate. Baymont Inn & Suites 2040 Factory Outlets Dr. Anderson, CA. 96007 530-365-6100 JGW RV Park 530-365-7965 6612 Riverland Dr. ($33.to$40.) Redding, Ca. 96002 Best Western Knights Inn 2688 Gateway Dr. Anderson, Ca. 96007 530-365-2753 Motel 6 530-364-2021 2861 McMurray Dr. Anderson, CA. 96007 Gaia Hotel & Spa 530-365-7077 4125 Riverside Place (discount booking link on our website) Anderson, CA. 96007 Local Restaurants Cottonwood Eatery 20828 Front St. Cottonwood, Ca. 96022 Eagle’s Nest Pizza I-5 & Gas Point Road Cottonwood, CA. 96022 530-347-1717 Shasta Branding Iron 530-347-4036 3917 Main St. Cottonwood, Ca. 96022 530-347-6679 General Guidelines Please drive VERY SLOWLY (12 miles per hr) while on the property. Our neighbors appreciate dust control! No alcoholic beverages allowed on the premises. NO SMOKING allowed on the premises. No unattended children. NO DOGS ALLOWED. We know how much you love your canine companions, but we would ask that you please refrain from bringing them to the Clinic. We wish to minimize any risk to people or horses that could be caused by an untimely bark or even just the normal doggy scampering. Thank you for your consideration of the riders, and their horses. Please pick up after yourself and your horse. There are trash receptacles and wheel barrels for manure. Leave all gates the way that you find them. Smile BE READY TO LEARN A TON AND HAVE LOTS OF FUN ! ! ! 5