LARRY POULIN CLINIC

MAY 23 & 26

Shady Oaks is proud to be welcoming Larry Poulin as clinician.  The clinic is limited to the first 10 participants.  Form and payment must be received to reserve spot.  You will be notified immediately upon receipt if accepted, or money will be returned.  No refund after clinic spot has been accepted.  The fee is $500 for the two days and includes lunch, stabling and camping.  Participants will be required to sign waivers upon arrival.  Clinic may be audited for $30 a day, which will include lunch, no camping (no refunds).

NAME:_________________________________________________________________

ADDRESS:______________________________________________________________

CITY:____________________________________STATE:__________ZIP:__________

PHONE: ______________________________CELL:____________________________

E-MAIL:_______________________________________________________________

I Drive: (Check and circle)

Single ________P / H                          Pair: ___________ P / H

# Stalls Needed:____________

Camping (circle one)    Yes                   No

Clinic Fee $500 enclosed:            ______________

Audit Fee $30 enclosed:            ______________

I would be interested in an organized dinner   Yes            No

We didn’t want to get too many costs involved, I would be happy to organize a dinner if most participants are interested.  Please check our website for directions, and hotel accommodations.

If you have any questions, please call or e-mail Bonner Murphy at (209) 462-2209, bnnrmrphy@aol.com

Checks made payable to Grupe Operating Company

Mail To:

Grupe Operating Company

Poulin Clinic

P.O. Box 207007

Stockton, CA  95267