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Riding Lessons & Information Form
Completed form required for each lesson student

All information is kept Confidential.
Please note: The form is for information and contact purposes only
Full name:
Parent name(if lessons are for a child):
Phone number: Email:
Rider's Age      Weight lbs     Height inches
Riding experience: None   Beginner   Some   Advanced  
Lesson(s) requested: Please check one only
Introduction lessons package (child)
Introduction lessons package (adult)
Safe Trail Riding lessons package
I would like lessons in: (please check one)
Basic (Beginner Rider)

Not sure
I prefer my lessons on: (please check one)
weekday evenings weekday daytime
weekends daytime weekends evenings
How did you hear about us: (please be specific, thank you)
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