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Name of Participant: ___________________________________ Age: ___ Sex: M___ F____ Address: ________________________________________________________________________ Name of Parent or Guardian: _______________________________________________________ Address: ________________________________________________________________________ E-mail address: __________________________________________________________________ Home phone number+area code: ______________ Cell phone number: ________________ Emergency Instructions:___________________________________________________________________ Physician’s Name and phone number: ________________________________________________ List any allergies, medical conditions, physical limitations: ________________________________ _________________________________________________________________________________ _________________________________________________________________________________ List lesson choices here: __________________________________________________ _________________________________________________________________________________ How did you hear about Sue BD Stables? _______________________________________________ _________________________________________________________________________________ For office use only: Check #__________ Deposit $_________ Balance due $__________ Pd Check #________ -------------------------------------------------------------------------------------------------------------------- Print this page and return enrollment information with your payment to: Sue BD Stables/ 9255 NW Hillsboro RD/ Parkville, MO 64153 $20 nonrefundable deposit required for each session of the Saddle Up! series. All balances are due on the first day of the lesson. Proper riding apparel is required: t-shirts, long pants, shoes or boots with a heel. No tube tops, spaghetti strap tops, capris, shorts, fashion boots or sneakers. We require riding helmets to be worn at all times when working with the horses. One can be provided for you if needed. Please make sure all personal belongings are labeled and contained in a backpack or bag when not in use. All participants should bring sunblock, bug spray and extra bottled water if needed. In case of inclement weather, please call our office 816-891-1005 for instructions. Negative coggins required for any horse trailered in for an activity. | Return Home | About Us | Boarding | Lessons | Facility | Activities | Links | Contact Us | Horses, etc. for Sale | Release Form | Student Enrollment Form | |
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