Frank Madden Clinic Registration Form
 June 21st and 22nd, 2010 8:00 a.m. - 3:00 p.m.

Big Easy Farms
 Adrian Ford III, Trainer
301-537-5015
www.bigeasyfarm.com
At Canterbury Farm
20001 Bucklodge Road, Boyds, MD 20841

Name:
Phone number:
Email Address:
Street address:
City:
State:
Zip code:
Section choice: 2'6"
3'
3'6"
Comments:
Remember that registration forms are not complete without payment (see below), coggins, and the rider's (or parent/guardian's) signature! These can be brought the day of the clinic.
Costs
-- $400 for both days ($100 deposit)
-- $250 for one day ($100 deposit)
-- $25 audit per day
Deposits must be received by Adrian Ford (150 Haviland Mill Road Brookeville, MD 20833) before June 8th.