REGISTRATION FORM
Northshore Technical Community College, Florida Parishes Campus &
The Elite Program, Inc. 
5580 Versailles Road Suite 101
Lexington, KY 40510
859-321-4377

L Check box to register for July 28-August 1 Equine Clincic.


Please sign me up for Equine Clinic July 28 to August 1.


NAME    ADDRESS:

CITY:     STATE:   ZIP:

PHONE:     CELL PHONE:

EMAIL:


Are you currently teaching about horses?   If YES, what kind of teaching?

Are you a horse owner or student ?   If YES, which best describes your student status

When you are done press the Submit button below.  You will be sent an email confirmation of your registration. You will be sent information about a motel offering special rates for attendees and other information as class approaches. When you press submit you will be taken to a page where you can pay $100 non-refundable deposit to hold your spot or pay a special EARLY BIRD tuition of $500. Cancellation information will be included in a subsequent email.