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)
18
56 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