Registration for Janna Kysilko Dressage Clinic

Clinic Registration

Use this form to register for a clinic with Janna Kysilko, either as a rider or an auditer. Riders will be sent an e-mail with payment and scheduling information. Registration is complete upon receipt of clinic fees, signed release form, and a copy of the horse's current negative Coggin's test. You can also contact Janna directly for more information. More information about Chinnock Farm, its facilities and location can be found on the boarding page.

Your Contact Information (required)

* First Name:

* Last Name:

* Email:

* Primary Phone:

Your Horse's Information (if riding)

Name:

Age and Breed:

Level:

Primary Discipline

Your Address (optional)

Street:

City:

State:

Zip Code:

I'm registering for (check all that apply):

Ride Time ($50)
Auditing (Free)
Day Stall ($10)

Clinic Date

Comments

Please mention if you and/or your horse have any particular needs or considerations that should be known in advance, especially scheduling considerations.