Eternal Sun Stable

                       Positive Communications +
                                           Workshop Registration Form
EternalSunStable___________________________________________

REGISTRATION for _________________ Workshop, 9 am - Noon
                             (Please fill in date)

Please print out and mail in with your deposit to:

                                           Connie Dwyer
                                           11 Doolittle Rd.
                                           Harpursville, NY 13787

Name:___________________________________________Phone_______________

Address: _____________________________________________________________

Email address:_________________________________________________________

Check or money order enclosed for:

           Workshop Participant   -    $35.00 due with registration form *
                                                                or you may pay online through PayPal
             * (no cash refunds - payment can be applied to another workshop, clinic or private lesson)

      Please tell me about you, your horse, and your goals in the space below !

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               Thank You !