REGISTRATION FORM
The Elite Program, Inc.
1818 Versailles Road
Lexington, KY 40504
859-321-4377
Check box to register for November 5-7, 2015 Equine Instructor's Certification Workshop
Please sign me up for November 5-7 Equine Instructor's Workshop in Louisville, Kentucky
NAME
ADDRESS
:
CITY
:
STATE
:
ZIP
:
PHONE
:
CELL PHONE:
EMAIL
:
Are you currently teaching an Equine class?
No
Yes
If YES, what kind?
None
Youth Lessons
High School
Community College
University
Therapeutic
Racetrack grooms
Show Horse
Private
Groom Elite
Name of Institution
:
Are you a student of an equine program?
No
Yes
If YES, what level?
Select Level
Private Lessonss
High School
CC or University
Owner
When you are done press the Submit button below. You will be sent an email confirmation of your registration. About one week before this class you will be sent specific information regarding class location, parking, etc.