Name *

First Name

Last Name

Phone *

(###)

###

####

Polo Speed/Level *

Relative to lower-goal playing, what would you consider your level to be?

Beginner/Pretty Slow

Intermediate/Medium Speed

More Advanced/Like to Run

Number of Chukkers *

How many chukkers would you like to/typically play?

Two

Four

Six

Horses *

What is your current status regarding polo horses?

I would play my own horses

I would need to rent a horse or horses from Epic Polo or another source

Best Days for Chukkers *

When are you most likely to sign up for chukkers?

Wednesday Evenings

Friday Evenings

Saturday Mornings

Saturday Midday

Saturday Afternoons

Sunday Mornings

First Tournament *

On what date would you prefer we schedule the first tournament (choose one)

Saturday, November 23

Saturday, November 30

Either date works fine for me

Social *

Which of the following league-organized but pay-your-own-way (monthly), non-polo social activities would you enjoy?

Group Trail Rides, Hunter Paces

Jumping Shows

Movie Night

Bowling Night

LeBarge or Other Boat Cruise

Rodeo

Dancing

Holiday Trolley Tour of Lights

Pub Crawls

Dragon Boat Rowing

US Open Polo

Group Polo Weekend at Other Clubs (i.e. Tallahassee, Villages, etc)

Other (add suggestions to comments section below)

Clinics *

Are you interested in schooling and polo clinics with pros for a reasonable price

Yes

No

Equine Travel *

Would you be interested in/consider joining Epic Equine in polo and/or horse-centric travel in the future, depending on the trip of course?

Yes

No