2024 Hope Glynn Derby Clinic Registration Form – Sierra Nevada Horse Show Association

For those who use this form to pay online, one more step must be done before your registration is complete. The Franktown Meadows Equestrian Facility requires a separate Waiver and Release form. Please download, fill it out and sign and date the form, then send it by email to [email protected]

Franktown Meadows Waiver and Release Form

FILLABLE Franktown Meadows Waiver and Release Form

2024 SNHSA Hope Glynn Derby Clinic

This form is to register for the Wednesday and Thursday, June 12-13, Hope Glynn Derby Clinic that will be hosted by Franktown Meadows Equestrian Facility on their grass fields. Session levels and times will be based upon the number of participants and their jumping heights. Choose between 2′ to 3’6″ heights. The clinic is intended to provide riders/auditors two days of education and instruction. Space may be limited, so the sooner your reservation is in, the better. A 50% deposit is due no later than June 5 with the remainder due the day of the clinic. Hope Glynn, one of the best in the industry, will be teaching this clinic for SNHSA. SNHSA will provide water and snacks and is sponsoring the clinic.

Choose Registration Type(Required)

Pricing is determined by SNHSA membership versus non-membership. SNHSA Membership may be paid using the online form on the Membership page on the SNHSA website.

SNHSA Membership #

SNHSA members can locate their membership numbers on the SNHSA website on the Membership page.

Name of Rider/Auditor(Required)

First Last

Use a separate registration form for each rider or auditor.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone Number(Required)

Barn affiliation if applicable (local SNHSA area barns)

Email address (Session times will be communicated to riders by email.)(Required)

Is Rider over 18 years of age?(Required)

Yes

If Rider is under 18 years of age, provide an Emergency Contact Name and phone number.

Riders, please check your preferred fence height group. Session levels and times will be based upon the number of participants within each jumping height group.

2′-2’3″

2’6″-2’9″

3’0″-3’3″

3’6″ +

SNHSA Liability Release for riders and auditors, or the parent/guardian of the rider/auditor. (Please note that a separate Franktown Meadows Waiver and Release form must also be signed prior to arrival to Franktown Meadows.)(Required)

I, the undersigned, acknowledge that as a rider/competitor, I am subjecting myself to certain risks or injury or damage to either horse, rider or equipment. Knowing these facts, I nevertheless, in consideration of your accepting me as a clinic participant, do hereby for myself, my heirs, executors, and administrators, agree to waive, release and hold harmless Hope Glynn, SNHSA, Franktown Meadows Equestrian Center, their employees, agents, or representatives paid or unpaid, from any accident, death, injury, damage or theft that might occur to me, my horses, family, friends, or personal property while at Franktown Meadows. I have read the above statement and understand my rights.

I, the rider/auditor who is 18 years of age or older, or parent/guardian, agree

Choose the registration type for SNHSA members, with 50% deposit due by June 5. The 50% balance (not reduced by today's 4% convenience fee) is due by June 12.

SNHSA member both days 50% of $500 plus fee, $260

SNHSA member Wednesday 50% of $300 plus fee, $156

SNHSA member Thursday 50% of $300 plus fee, $156

SNHSA member both days full amount $500 plus fee, $520

SNHSA member Wednesday full amount $300 plus fee, $312

SNHSA member Thursday full amount $300 plus fee, $312

SNHSA member Audit both days 50% of $75 plus fee, $39

SNHSA member Audit Wednesday 50% of $50 plus fee, $26

SNHSA member Audit Thursday 50% of $50 plus fee, $26

SNHSA member Audit both days full amount $75 plus fee, $78

SNHSA member Audit Wednesday full amount $50 plus fee, $52

SNHSA member Audit Thursday full amount $50 plus fee,$52

Online registration includes a 4% convenience fee.

Choose the registration type for non-members, with 50% deposit due by June 5. The 50% balance (not reduced by today's 4% convenience fee) is due by June 12.

Non-member both days 50% of $600 plus fees, $312

Non-member Wednesday 50% of $400 plus fees, $208

Non-member Thursday 50% of $400 plus fees, $208

Non-member both days full amount of $600 plus fees, $624

Non-member Wednesday full amount of $400 plus fees, $416

Non-member Thursday full amount of $400 plus fees, $416

Non-member Audit both days 50% of $100 plus fees, $52

Non-member Audit Wednesday 50% of $75 plus fees, $36

Non-member Audit Thursday 50% of $75 plus fees, $36

Non-member Audit both days full amount of $100 plus fees, $104

Non-member Audit Wednesday full amount of $75 plus fees, $78

Non-member Audit Thursday full amount of $75 plus fees, $78

Online registration includes a 4% convenience fee.

Total

Questions, comments

If you have any questions, please call Annelise Appleseth at (651) 497-7827. We will use your email address to update you with any communications or instructions Please find the Franktown Meadows Waiver & Release form on the SNHSA website. Fill it out and sign, then email to [email protected] prior to arriving at Franktown Meadows.