REGISTRATION	PREP CLINIC FOR CAA LEVEL ONE TEST
	Sunday, July 12, 2009	Clinician Dana Bright at TaylorMade Stables
		26130 Mullinix Mill Rd., Mount Airy, MD 21771
		Owners & trainers: Robert & Kathy Taylor
Driver Participant:
	Name:
	Address:
	City, State, Zip:
	Preferred phone home/work:
	Cell phone for day of clinic:
	E-mail:
	Waiver	* Sign and attach.
Equine:
	Name:
	Breed:
	Gender:
	Color:
	Age:
	Coggins number/date:				* OK if previously provided is still valid.
Helper included in participant fee or Auditors:
	Name(s):
	E-mail:
	Preferred phone home/work:
	Cell phone:
	Waiver(s)	* Sign and attach.
			Qty:	Rate:	Total:
	Driver, single horse, turnout		1	$70
	and one helper included		1	$0
	Afternoon turnout pasture, 12-4pm			$10
	Preregistered Auditors:			$20
	Auditors registered July 8 to 12:			$30
	Mail to Clinic Organizer:	Check made out to Susan Kary	for	Total:	$
	Susan Kary, Westlake POB 341056, Bethesda, MD 20827, KarySusan@aol.com (301-493-8115)
	Registration complete?	Check?               l          Coggins Current?	Driver Waiver?		Auditors Waivers?
	At any time you may contact Robert Taylor for starting and training driving horses and ponies, and
	for driving instruction.  2009 rates: $70/hour, $40/half. Call 301-351-2691 to discuss & schedule.