| Directions to Willow Bend South from I-10 exit 130 Cottondale/Panama City exit. Take Hwy 231 South Make right onto County Road 276 west in the town of Alford Go 3 1/2 miles on CR 276 make left onto Porter Road(dirt road) go 1/2 mile farm on right Willow Bend South (sign) 1856 Porter Road phone number # 850-638-8352 or cell #850-559-4188 |
Willow Bend South Centered Riding Clinic Form
Centered Riding Clinic
Date: April 18-19, 2009
Clinican: Robin Harris-Masouqitoya
Level III Instructor
Saturday & Sunday 8:00A.M. –Unmounted Ride
Saturday and Sunday Starting at 9:00am
(will be in groups of 5 according to Level of Riding and scheduled times to ride)
Under Florida 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 risks
of equine activities.
Name: _______________________________________
Address__________________________________________
E-mail________________________________________________
Phone_________________________________________________
Signature_______________________________________
(Under 18 yrs old parents signature required)
Level of Riding: circle one Beginner Intermediate Advanced
Make check payable to Mary Jane Benson Clinic Fee is $175.00 and Stall fee $25.00
Mail to : Mary Jane Bneson
1856 porter Road
Cottondale,Fl 32431
Audit Fee for the weekend is $40.00 or $25.00 for one day
Centered Riding Clinic
Date: April 18-19, 2009
Clinican: Robin Harris-Masouqitoya
Level III Instructor
Saturday & Sunday 8:00A.M. –Unmounted Ride
Saturday and Sunday Starting at 9:00am
(will be in groups of 5 according to Level of Riding and scheduled times to ride)
Under Florida 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 risks
of equine activities.
Name: _______________________________________
Address__________________________________________
E-mail________________________________________________
Phone_________________________________________________
Signature_______________________________________
(Under 18 yrs old parents signature required)
Level of Riding: circle one Beginner Intermediate Advanced
Make check payable to Mary Jane Benson Clinic Fee is $175.00 and Stall fee $25.00
Mail to : Mary Jane Bneson
1856 porter Road
Cottondale,Fl 32431
Audit Fee for the weekend is $40.00 or $25.00 for one day