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Application to participate in a clinic run by JPDC

Name *

Mobile *

Email Address *

Address

Name of Clinic *

Clinic Code *

Days you wish to attend *

Lesson Type

Arrival Date *

Departure Date *

Horses Name *

Horses Age

Horses level

PIC of property horse will come from

TOTAL COST OF CLINIC FEES $ *

Payment Method

Stable/ yard required

Additional information

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