Clinic Request & Rider Request

Forms

Clinic Requests

Whether you would like to see Jill teach in your facility or you want to sign up to ride in a clinic in your area, there are two options below to let Jill know.

Choose the form that is right for you.

Jill will be looking at all requests and you will be notified of any clinics coming to your area!

Clinic Request Form

First Name

Last Name

Phone *

Email *

Please tell us where you would like to see Jill host a clinic.

Please tell us about the area (hotels, restaurants, how far from nearest community)

Please tell us why you would like Jill to host a clinic in your area and if you have a group that is desiring to ride with Jill that would fill a clinic. (9-12 people)