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Entries close soon!
Amanda Miller Clinic Registration
Please select which options you would like to enter:
Private Flat ($115)
Private Stadium Jump ($115)
Group XC Schooling w/optional pacing ($65)
Group Gridwork/Gymnastics ($65)
Group Flat ($65)
Group Stadium/Coursework ($65)
BREA member discount. $15 towards 1 lesson and $20 towards 2 or more lessons (max 4 lessons). (handled separately)
Rider Info
Membership
(Required)
None
BREA
Rider Name
(Required)
First
Last
Address
Street Address
Address Line 2
City
State
Zip Code
Phone
(Required)
Email
(Required)
Horse Info
Horse Name
(Required)
Horse Gender
(Required)
Stallion
Mare
Gelding
Owner Same as Rider?
Yes
No
Owner Name
Entry
Lesson Option
Maximum 4 per entry (2 per day)
Private Flat
Private Stadium Jump
Group XC Schooling w/optional pacing
Group Gridwork/Gymnastics
Group Flat
Group Stadium/Coursework
Private Flat
Price:
Private Stadium Jump
Price:
Group XC
Price:
Group Grid
Price:
Group Flat
Price:
Group Stadium/Coursework
Price:
Level
Tadpole
Cross Rails
Green
Advanced Green
Beg Novice
Novice
Training
Riding Level
What heights are jumping? What are you wanting to work on if you are flatting? Please explain below.
Day Preference
We will try to schedule the day that works best for you
Saturday
Sunday
Both
Stabling
Day and Overnight Stalls offered @ $20 for day use, $30 if overnight (must bring own bedding and strip stall afterward). A night check will be done if any horses stay over night. Stalls do not have power.
Day Use Stall
Quantity
Price:
$20.00
Quantity
Overnight Stall
Quantity
Price:
$30.00
Quantity
Camping
Quantity
No hookups available, no camp fires or alcohol allowed. Bathroom and potting water are the only amenities. $10/night
Price:
$10.00
Quantity
Coggins
Coggins Date
(Required)
MM slash DD slash YYYY
Coggins Accession #
(Required)
If a coggins is not submitted electronically, you must bring a hard copy of the coggins to the show for the secretary to keep.
Coggins Upload
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Waivers
Waivers can be found here:
USEA Waiver
BREA Waiver (print and email back)
BREA Waiver (complete & submit online)
For print waivers, click the link and print, then scan and attach below.
Waiver Upload
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
USEA Release Upload
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Total
Accepted Payments:
Check, made out to “BREA”
Mail to Amanda Miller Clinic Entry, ATTN: Casey Moyer 3199 Bradshaw Road, Elliston, VA 24087
Cash/check day of clinic
Notes to Organizer
