tO RegisteR - Kentucky Dressage Association

A Clinic with
FEI Dressage rider
Caroline Roffman
Allday Farm
Shelbyville, KY
June 27-28, 2015
Sponsored by
KENTUCKY DRESSAGE ASSOCIATION
Details at: KentuckyDressageAssociation.com
SAVE! Join KDA and get the member rate!!
International rider Caroline Roffman has
captured the attention of the dressage world,
and is now an established rider who worked
herself through the ranks at a very young
age and whose talent and dedication have
now taken her to the top of the sport.
Roffman has repeatedly proven in the show
ring that she has a true gift for dressage, and
now she has successfully passed on her gift to other dressage competitors. At the Great
American Insurance Group/United States Dressage Federation (USDF) Region 2 Dressage
Championships and the Kentucky Dressage Association (KDA) Fall Classic this October
(2014), two riders whom Roffman has worked with— Rachael Hicks and Susan Posner—
dominated competition and earned Championship titles.
Now, KDA is proud to present a clinician of this caliber at Allday Farm in late June.
Please join us!
1st Annual
Caroline Roffman CLINIC @ Allday Farm
426 Antioch Rd., Shelbyville, KY 40065
June 27th and 28th, 2015
Please complete all blanks. Pre-registration and payment REQUIRED! One horse per entry,
please. Mail form, proof of negative Coggins, and check/ money order (payable to “KDA”) to:
Bill Kraatz, 4 Sassafrass Lane, Florence KY 41042 no later than June 14th, 2015. Refunds not
available after June 20th, 2015.
Horses Name: __________________________________________________________________
Riders Name: __________________________________________________________________
Phone: ____________________________ Email: ____________________________________
Address: ______________________________________________________________________
SATURDAY (6/27) Dressage 45-Minute Private Lesson with Caroline Roffman
KDA $170; Non-KDA $220 ______
SUNDAY (6/28) Dressage 45-Minute Private Lesson with Caroline Roffman
KDA $170; Non-KDA $220 _______
Grounds Fee for Horses Not Residing at Allday Farm
$25_______
Total _______
Stalls: Limited Stabling Available, Please arrange directly with Erin Pullen 502-741-8595
or email [email protected]
Horse/ Rider Dressage Level ___________________________________
Auditors welcome! $30 per day or $50 per weekend, includes lunch.
Note: $30 fee for any/ all checks returned for insufficient funds.
859-282-9500
For additional info:
Bill Kraatz
Kristi Fly
[email protected]
859-707-9094 [email protected]
I understand that equestrian sports are inherently dangerous and I am participating at my own
risk. I am willing to assume this risk involved to me, my family, guests, my horse (s), my
vehicles and additional property. I hold the organizers of this clinic, their volunteers, officials,
property owners, sanctioning bodies, and anyone else involved in this clinic harmless for any
damage, loss, or injury suffered while on the Allday Farm grounds. I have read and fully
understand this release and consent to these conditions to enter this clinic. This agreement is
made in the State of Kentucky and shall be enforced and interpreted under the laws of the State
of Kentucky.
Date______________________________
Signature ____________________
_____________________________________________________________________
_________________________________________________
Parent/ Guardian if under 18 ______________________________________________________
Emergency Contact Name, Number, and Relationship: _________________________________
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Directions to Allday Farm
I-64 to Simpsonville exit
exit,, North on Rt. 1848 for .6 mi. To Left on Rt. 60 (Shelbyville
Rd.), Turn Right on 3rd St., Simpsonville (continuing on Rt. 1848), go 2.5 miles then
Right on Antioch Rd., 2.8 miles to Allday Farm on the Right (just after sharp curve)