2010 DRIVING CLINIC JUNE 5th, 6th, 7th ~ Saturday, Sunday & Monday

NAME_______________________________________________________________________________

ADDRESS____________________________________________________________________________

_____________________________________________________________________________________

PHONE___________________________________________E-MAIL_____________________________

DONKEYS NAME______________________________________________________________________-

GENDER__________________________AGE_________________________

PAYMENT $385.00 FULL PAYMENT REQUIRED AND IS NON REFUNDABLE

(This fee is for one donkey and one person)

(SIGN UP AND PAYMENT IS DUE MARCH 1, 2010

SIGNATURE_______________________________________ DATE_______________________________________

If a second person is going to train with the same donkey then their fee to participate is $250.
They will work as a team with the one donkey.

ADDITIONAL PERSON:

NAME________________________________________________________

ADDRESS______________________________________________________

             _______________________________________________________

PHONE_________________________________E-MAIL______________________________________

PAYMENT: $__________ FULL PAYMENT REQUIRED AND IS NON REFUNDABLE.

SIGNATURE______________________________________DATE______________________________

Checks made out to Ass-Pirin Acres, 4241 Vt Rte 17 W, Addison, Vermont 05491