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2024 - 2025 Tally Ho Farm Registration

IMPORTANT!!

Please Read before completing

This paperwork is not only for us to have contact information to bill but also to contact someone incase of emergency. Please make sure the information is as current as possible.

Also please use correct capalization and do not use all caps.

Student Last Name *

Student First Name *

Birthday * +

Age *

Add an additional rider?

Student #2 Last Name *

Student #2 First Name *

Birthday for Student #2 * +

Age of Student #2 *

Add a third rider?

Student #3 Last Name *

Student #3 First Name *

Birthday for Student #3 * +

Age of Student #3 *

Horseback Riding Experience *

Unless last names are different, please only type first name for parents or significant others.

Mother's Name *

Father's Name *

Emergency Contact *

Email #1 for Invoice *

Email #2 - Please provide a different email than #1 *

Email #3

Which email(s) would you like to be added to the distribution list? *

Email #1

Email #2

Email #3

Street Address *

City *

State *

Zip Code *

Mother's Cell Phone Number *

Father's Cell Phone Number *

Cell Phone Number *

Emergency Contact Phone Number *

Medical/ Allergies *

Registration Fee: Students pay a registration fee each year. *

Payment Options: *

If choosing Auto draft, please print and fill out this form

If choosing Auto Draft and NOT CURRENTLY enrolled; please fill out form and drop in payment box. Auto Draft Forms must be summitted by the 25th of the month in order to be activated for the upcoming month.

For new students ONLY - You will receive a $25 discount on your registration fee if you sign up for Auto Draft upon your first invoice.

Instructor *

Kim (Mon, Tues, Thurs)

Ashley (Fri, Sat, Sun)

Sheridan (Wed, Fri, Sun)

Cheyenne (Wed, Sat)

Katie (Mon)