Brevard Equestrian Center

proudly presents:

Paula Kierkegaard Clinic

March 29-April 1, 2012
Details:
In the category of horse experience, you may note almost 50 years competitive background with horses. She is a USEF judge in dressage (since the 70s), has an extensive classical background and competitive national rankings (USDF medals) through Grand Prix, and was one of the first three USDF certified instructors (1990). In addition, Paula has great experience with hunters (hunter seat champion of California), jumpers, and three day. Her mother was secretary of Rappahanock Hunt, so she also hunted traditionally as well. This cross-platform is rare these days, but was presumed as basic horsemanship in earlier days. In addition, within the hunter world, she won at the VA circuit side-saddle, as well as showing FEI dressage side saddle. She did a lot with western and gaited horses. In her teaching she includes theory work necessary to support the physical education of the body. She has showed at all levels, won Ljungquist championships, and produced nationally ranked horses. Her students are showing through GP and are now producing their own GP horses. I try to train people and horses for riding and life. I have two wonderful and children who are both sports minded and bright. I seek to give to all our students (young and older) a sincere love for learning and assessment.

Facility:
20 x 60m sand and rubber covered dressage arena Shaded seating for auditors

Clinic Details:
45-minute focused private lessons 10 lesson slots available/day Auditors welcome & encouraged Lesson options include: lesson with Paula; lunge lesson; and/or horse schooled in-hand by Paula

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Cost:
Riders $100/day prepaid Auditors: $20/day prepaid* ($25 walkins) $10/day for Juniors <18 prepaid* ($15 walk-ins) *Deadline for Preregistration March 15th

Stabling Available Friday and Saturday nights $10/Day for Day Stall $20/Night for overnight

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Brevard Equestrian Center * 4850 Old Dixie Hwy * Grant, FL

Riding and In Hand Clinic with

Please make checks payable to and mail to:

Paula Kierkegaard March 29-April 1, 2012

Must be postmarked by March 15

Brevard Equestrian Center 4850 Old Dixie Hwy Grant, FL 32949

www.brevardec.com 321-960-2305 brevardec@aol.com

Rider Name: ______________________________________________ Adult/Junior (under 18) ______________ Address: ______________________________________________________________________________________ _________________________________________________________________________________________________ Email Address: ____________________________________ Phone Number: _______________________ Horses Name: ______________________________________________ Age: ________ Sex: _____________ Breed: ______________________________________________ Level of Training: _____________________ Auditor Name: __________________________________Adult/Junior (under 18) ______________ Address: ______________________________________________________________________________________ _________________________________________________________________________________________________ Email Address: ____________________________________ Phone Number: _______________________ Day(s) Riding: (please circle appropriate day) Refunds only if space filled from waiting list Thursday/Friday/Saturday/Sunday # of days _______ x $100 = __________________

Day(s) Stabling Required: (please circle appropriate day or night option) Thursday/Friday/Saturday/ Sunday Day Wednesday/Thursday/Friday/ Saturday night # of days _______ x $10 = ___________________ # of nights _______ x $20 = __________________

Day(s) Auditing: (please circle appropriate day) Sorry no refunds for preregistered auditors Thursday March 29/Friday March 30/Saturday March 31/ Sunday April 1 Senior Auditors Junior Auditors: # of days _______ x $20 = __________________ # of days _______ x $10 = __________________

Auditor Walk-ins Welcome day of Clinic for $30 (Adult) $20 (Junior) Total Due: ______________________
Brevard Equestrian Center * 4850 Old Dixie Hwy * Grant, FL

Brevard Equestrian Center Release and Hold Harmless

I hereby agree to abide by all rules of Brevard Equestrian Center. I hereby also absolve Brevard Equestrian Center and all persons associated with Brevard Equestrian Center of any and all responsibility for any harm and/or injury and/or loss, regardless of cause and effect, which might be incurred by rider, person, animal, or property while at Brevard Equestrian Center. In case of accident, I will make no claim whatsoever against Brevard Equestrian Center, its officers, employees, contractors, volunteers, boarders, students, and/or owners. The owner/rider/driver/handler and any of their agents or representatives acknowledge that they participate voluntarily in riding, grooming, boarding, and all equine activities not listed expressly in this document and are aware that horse sports and the events surrounding horse sports and equine activities involve inherent dangerous risk, and by participating they expressly assume any and all risks of injury and loss. The signers of this document desire to engage in equine activities sponsored by Brevard Equestrian Center. The signers hereby forever and finally release, remise, acquit, satisfy, and forever discharge Brevard Equestrian Center, its officers, employees, contractors, volunteers, boarders, students, and/or owners of and from all manner of action and actions, cause of action, suit, debts, dues, sums of money, bonds, billing contracts, controversies, agreements, promises, damages, variances, judgments, executions, claims, and demands whatsoever, in law or in equity, which may arise or might in the future arise or herein after may arise for or against Brevard Equestrian Center, its officers, employees, contractors, volunteers, boarders, students, and/or owners for the activities as stated above. This document is meant to be a full and complete release from any and all liability that may arise from participation in any equine activity. This release is given freely and voluntarily by the signer and is meant to remain in existence throughout the duration of the signers participation in equine activities. Warning Under Florida Law, any equine activity sponsor or equine professional in not liable for injury to, or the death of, a participant in equine activities resulting from the inherent risks of the equine activities.
Dated this _______ day of _________________, 201_____ Participant Signature ______________________________________ Print Participant Name _____________________________________ Legal Guardian Signature (If participant is a minor child) _________________________ Print Name of Legal Guardian ____________________________________ Street Address _________________________________________________ City _________________________________, State ____________ Zip Code _________ Phone Number(s) __________________________Email_____________________________ Emergency Contact Information: Name _____________________________ Phone Number ________________________