Six Keys to Harmony Clinic 9-10 June 2023

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• Address 1:
• City:
• State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * Phone:
• Age:
• Emergency Contact #:

Horse Information

• Name of Horse, Gender & Breed
• *

  I will bring an up-to-date Coggins for this horse

  • Yes
  • I am not bringing a horse.
  • I am renting a Dabney horse.
• Future plans for this horse:
• Training goals:

• Auditors are welcome to attend Ed Dabney's Friday night lecture at no charge. Auditing fee is $25 for the Saturday clinic.

• *

  Are you registering as a participant, spectator or both?

  • Participant
  • Spectator
  • Participant bringing spectator(s)

• Under Georgia law an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent results of equine activities pursuant to chapter 12 of title 4 of the official code of Georgia Annotated. The undersigned acknowledges the inherent risks involved in riding and working around horses, which risks include bodily injury from using, riding or being in close proximity to horses, among other risks, and further, that both horse and rider can be injured in normal use or in competition and schooling.

• *

  I have read the GA Law and understand there are inherent risks involved in riding and working around horses.

  • Yes

• Release and Hold Harmless: For the privilege of taking riding lessons and /or being around horses with ED DABNEY Gentle Horsemanship, LLC the undersigned does hereby agree to hold harmless and further release ED DABNEY Gentle Horsemanship, LLC, Ed Dabney, his family, employees, assistants, landlords, associates, assigns, and heirs from any liability or responsibility for any accident, damage, injury, death or illness to the undersigned, their children or any horse owned by the undersigned or to any family member or spectator accompanying the undersigned while under the direction and instruction or on the premises of ED DABNEY Gentle Horsemanship, LLC. I agree to the above Release and Hold Harmless Agreement.

• *

  I have read and hereby agree to the Release and Hold Harmless Agreement for Ed Dabney Gentle Horsemanship, LLC.

  • Yes

Riding Information

• How did you learn about this clinic?
• Any horse or rider health concerns?
• PreviousTraining:
• Your primary type of riding:
• Problem areas:
• Questions or issues you would like addressed at this clinic:
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• Cancellation Policy: If it is necessary for you to cancel your participation in the clinic, up to 30 days prior to the clinic start date, your clinic fee will be refunded in full. If canceling within 30 days of the clinic, we will refund your fee if we are able to fill your spot with another rider. If we are unable to fill your spot, your fee will be applied as a credit, towards a future clinic of your choice or private lessons.

• *

  I understand the Cancellation Policy.

  • Yes. i understand the Cancellation Policy
  • i am attending as a spectator.

Guest Information

You may add a maximum of 3