Equestrian Academy 1988

Lesson Registration

Name of rider _______________________________________    age_____________

Riding experience ______________________________________________________

Name of parent _______________________________________ Phone #_________

Address __________________________________zip__________cell #____________

I would like to register my child for the following Lesson Sessions

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I am enclosing $350 for my child (5-6 year olds) for 1 lesson per week……. 10 weeks

I am enclosing $680 for my child for 2 lessons per week……… 5 weeks

Balance will be refunded if rider withdraws after first 2 lessons.

Upon arrival  parent should please complete (or we will mail it to you with your lesson times)