Riding Request Form Parent’s InformationName* First Last PhoneEmail* Rider’s InformationName* First Last Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Rider Level No Experience Has Ridden on a Few Occasions (ie. summer camp) Rides in a Weekly Lesson Program, Can Walk & Trot Is learning to Canter and Jump Rides Competitively Lesson PreferencesLesson Style Group Lessons Private Lessons Preferred DaysCheck all that apply Monday Tuesday Wednesday Thursday Friday Saturday Sunday Additional CommentsCommentsThis field is for validation purposes and should be left unchanged.
