WELLGREEN FARM
PRESENTS
LIZ GRAVES GATHERING GAITS CLINIC

MAY 15 & 16, 2010
RIDER

NAME ----------------------------------------------------------------------------------

ADDRESS--------------------------------------------------------------------------------

CITY --------------------------------------------------------------------STATE--------

POSTAL CODE------------------------------

PHONE------------------------------------------------------------------------------------

E-MAIL-----------------------------------------------------------------------------------

MUST HAVE A CURRENT COGGINS AND HEALTH PAPERS

Clinic Cost   $600.00

Deposit $300.00 (NONREFUNDABLE BOOKING FEE)

Spectator Fee $35/day or $50/two days

-TO BE PAID IN FULL BY April 1, 2010
- STALLS: $25.00 per day (please bring your own grain and hay.....

                  shavings provided for/you clean your own stall)


HORSE----------------------------------------------------------------------------------


BREED----------------------------------------------------------------------------------
M      G      S      (circle) AGE: ----------

PAYMENT check $__________ #____ cash $________

Mail to: Marjorie Gilmore                         For more info call 309+530-0670 or
23274 E. 800 North Road                            email wellgreenfarm@verizon.net

         Downs, IL  61736