Sign-Up/Consent Form

Silver Sands Equestrian Center Rodrigo Costa Matos Clinic
January 20-21, 2009
625 Tomoka Farms Road (CR 415)
New Smyrna Beach, Florida 32168
phone 386-490-5401

Special Offer! Riders who sign up for all three days of the clinic will have their registration fee waived

This clinic will be held in an indoor arena with covered seating.  Registration is $50.00 per horse and rider and classes with Mr. Matos are 1 hour for $185.00.  There are stalls available, at $30 per night.

"We are looking forward to seeing everyone there and having a great time learning under this master trainer." said organizer Louise Levesque. "He has been working with show horses, warm bloods, Iberian breeds, Quarter Horses and many more in the US.

He’s very gentle and compassionate with the students and their equines.  He rides and exhibits Haute Ecole and you can visit the web site above to get more details.  This is a wonderful opportunity to learn more about classical dressage with a master of the art so don’t miss this opportunity right here in your own back yard.

Reserve your ride times and stalls early as spots are limited!

You must pay a deposit of 50% due now to reserve your stalls and ride times. The fee to audit the lesson sessions is $20.00. All fees must be paid in full by January 10th 2009. For any questions and reservations please contact:
Louise Levesque’ cell 386-490-5401 or email Louise@besrl.com

Sign Up Form

January 20 -22, 2009 - Rodrigo Costa Matos Dressage Clinic -
Release and Consent Form

RELEASE AND CONSENT

I, ______________________________, voluntarily have chosen to participate in and ride my horse in the Rodrigo Matos Riding Clinic on

_______________________, organized by Louise Levesque, and held at Silver Sands Equestrian Center, and I knowingly, execute this Release and Consent.

I hereby expressly release, discharge and hold harmless, Louise Levesque and Silver Sands Equestrian Center, their appointees, employees, volunteers, agents, or its successors in interest, from any and all injuries, damages, claims, causes of action, lawsuits or judgments of any kind or nature that I may have, known or unknown, or that any person claiming through me may have or claim to have against Louise Levesque and Silver Sands Equestrian Center, their appointees, employees, volunteers, agents, or successors in interest, created by or arising out of, or during, or following my participation in the Rodrigo Matos Riding Clinic, or resulting therefrom, through any act or omission to act by anyone, whether they be the undersigned, Louise Levesque or Silver Sands Equestrian Center., their appointees, employees, volunteers, agents, successors in interest or whomsoever.

It is my intention that this Release be binding on my heirs, legal representatives and assigns, and that its coverage extend to the appointees, employees, volunteers, agents or successors in interest of Louise Levesque and Silver Sands Equestrian Center.

This instrument is a complete waiver and release of any claim I have as a result of my participation in the Rodrigo Matos Riding Clinic.

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Date Signed

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Signature

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Print Name

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Address

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Telephone Number

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Mail all Deposits and Riding Releases to:
Louise Levesque
P.O.Box 1609
DeLeon Springs, Fl. 32130
phone 386-490-5401

About: Rodrigo Costa Matos - Head Dressage Instructor of Morgado Lusitano and Principal Rider of the Portuguese School of Equestrian Art




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