Midnight's Trail Membership Application Form

Midnight's Trail Membership Application

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

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

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

MonthDayYear
Date
Cellular Number*
Home Number
Work Number
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Membership Type*
prevnext( X )
Platinum Membership50 hours of riding per month
$450.00CAD



Gold Membership35 hours of riding per month
$350.00CAD



Silver Membership20 hours of riding a month
$250.00CAD



Bronze Membership10 hours of riding per month
$150.00CAD



Green MembershipNon-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!
$50.00CAD



Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD
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*

MonthDayYear
mm-dd-yyyy
Should be Empty: