Midnight's Trail Membership Application Form

Midnight's Trail Membership Application

To apply for a membership please complete all questions.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City Province

Postal Code Country
E-mail *
example@example.com
Date of Birth *

Month Day Year
Date
Cellular Number *
Home Number
Work Number
Emergency Contact *

First Name Last Name
Emergency Contact Number *
Please enter a valid phone number.
Membership Type *
prev next ( X )
Platinum Membership 50 hours of riding per month
$ 450.00 CAD

Gold Membership 35 hours of riding per month
$ 350.00 CAD

Silver Membership 20 hours of riding a month
$ 250.00 CAD

Bronze Membership 10 hours of riding per month
$ 150.00 CAD

Green Membership Non-riding, Come enjoy a home away from home. Come chill at the barn, cuddle up with the horses, cats and dogs. Bring the horses in for brushing, take them for a walk, enjoy breathing in that lovely horse scent!
$ 50.00 CAD

Subtotal

$ 0.00 CAD

Tax

$ 0.00 CAD

Total

$ 0.00 CAD
Experience *
Term *
Helmet *
I understand that Midnight's Trail is open Monday through Saturday. We are CLOSED on Sundays. *

I understand Midnight's Trail is closed on Sundays.
Signature *

Clear
Signature Date *

Month Day Year
mm-dd-yyyy
Should be Empty: