Barrel Racing Clinic Reservation Form
1. I will attend: Oct 3, 2009 
Oct 4, 2009
Oct 4, 2009, 10am - 2pm = $60.00 3 pm - 7pm = $60.00Both Sessions = $100.002. Include deposit Check for 1/2 amount: 1/2 = $30 for 1/2 day
1/2 = $50 for all day 3. Stall Reservation: Number of Stalls: _____ (Include $20 per stall - bring your own feed and shavings)
4. Tell us a little bit about your riding experience level also with barrels and poles. What you are hoping to focus on and learn at the clinic? __________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Date: _________________________Date: __________________________
Date: ___________________________________________________________________________________________________
__________________________________Signature If Minor - Signature of Parent or Guardian
If Minor - Signature of Parent or GuardianPrinted Name(s):_________________________Printed: ________________________
Printed: ________________________ Address:___________________________Address: _______________________
Address: _______________________ ___________________________ _______________________
_______________________ ___________________________ _______________________
_______________________ Tel Number(s):__________________________Tele No: _______________________
Tele No: _______________________ __________________________ _______________________
_______________________ Email: ___________________________Email: __________________________
Email: __________________________ DOB: ___________________________ DOB: _________________________Please make check payable to Melissa Bieber and mail to:
Melissa Bieber
Biebers Red Willow Ranch Performance Horses
P.O. Box 8
Becker, MN 55308
