Registration for Horseback Riding Lessons
Rider's Name
*
First Name
Last Name
Rider's Age
*
Parent's Name (if under 18)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Who is completing this form?
*
Your Name
What is your relationship to the Rider? (Please note adult rider or legal guardian must sign release form prior to riding)
*
I am the rider
I am the parent or legal guardian
I am a family member (not legal guardian)
Other
Are you a new client or existing client of ours?
*
New Client
Existing Client, currently taking lessons
If you’re a new client, have you talked to Mrs Codi about availability?
Yes
No. (If no, please keep an eye out for Mrs Codi’s call to give you availability, thank you!)
Lessons Refund Policy...Clients can ask for a refund within 10 days of purchase. Lessons expire 12 months after date of purchase. If client does not show for lesson, or does not communicate at least 24 hours ahead of lesson time, client will be charged for lesson. All refund exceptions will be approved at the discretion of owner only.
*
I understand the Refund policy
Other
Participant Release - Known by all present: The undersigned understands and agrees that there is inherent risk of injury in all equine-related activities, both mounted and non-mounted. It is understood that horses may stumble, bite, run, or make unpredictable movements which may cause a participant to be injured by or fall from the horse. I am willing and able to accept full responsibility for my own safety and welfare and my family’s. I do hereby release and discharge Al’s Horse Academy, it’s instructors, staff, volunteers and horse owners from any and all responsibility or liability to me, my child, or my family in connection with any injuries or disease suffered by me, my child, or my family as a result of my activity, participation and attendance involving Al’s Horse Academy horses/ponies, property or events.
*
I agree to the Participant Release for my child, myself and/or my family.
Other
Photo Release - I hereby grant Al’s Horse Academy and all entities permission to use any and all photographs, slides and any other audio visual materials in which I may appear for the express purpose of promoting Al’s Horse Academy programs and I do not expect, nor shall I receive any monetary reimbursement for this authorization.
*
I agree to the Photo Release
I disagree to the Photo Release
Cancellation policy - If you cancel your assigned lesson less than 24 hours ahead of time, we reserve the right to charge your account based on the assignment of our staff and horses to your designated lesson time. Cancellation by Al's Horse Academy will occur as soon as possible, normal cancellations are for weather (too rainy for you to drive our roads, or walk our areas due to mud slippage) or sickness of employees. Please be aware our cancellation policy states if you cancel three (3) times in a row for your assigned lesson, we will not be able to hold or guarantee your scheduled time. Exceptions are at the discretion of management. We make every effort to guarantee your lesson time, staff and horse are prepared for you.
*
I understand the Cancellation Policy
I do not understand the Cancellation Policy
Medical Information for Participant - Please let us know below if participant has any medical or allergy conditions we need to know about. This includes ADHD, Autism, allergic to anything, etc. This will help our staff keep all riders safe. If medication is needed please give it to Management with name clearly printed with directions for application. For participants who develop allergies while at Academy, the participants' affected area will be washed. Then the Academy will contact the parent/guardian for further instructions. If Academy is administering medication per your permission, and the participant is exhibiting allergy symptoms including, but not limited to: facial swelling, other excessive swelling or trouble breathing, or if another emergency occurs which Management believes requires a 9111 call, Academy will call 911 before contacting the parent/guardian. The parent/guardian accepts full medical financial responsibility for the participant.
*
The participant has a medical condition described below
The participant has an allergy condition described below
The participant is healthy, with no medical or allergy conditions
Other
Medical or Allergy Conditions
Emergency Contact - if other than parent information above
First Name
Last Name
Emergency Contact Phone Number - if other than parent information above
Please enter a valid phone number.
How will you pay? *Payment must be complete prior to Lessons being added to the calendar* Due to increased Credit Card Processing Fees from our merchant, pricing has been adjusted below to accommodate. Thank you for understanding.
*
by Credit Card below (fees added to cost below)
By Check (free, no fee)
By Cash (free, no fee)
Zelle to 520-227-1659 (Mr Al's Phone Number) (free, no fee)
Paypal to AlsHorseAcademyAZ@gmail.com (free, no fee)
Other
My Products
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Horseback Riding Lesson - First Lesson
All riders, All Ages, First Lesson is the same price. Lesson is $65, $5 credit card fee.
$
70.00
Quantity
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10
Item subtotal:
$
0.00
Horseback Riding Lesson - 4 pack per rider
4 pack cost is $240, plus $10 credit card fee
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Horseback Riding Lesson - Ages 3-5
Lesson price for ages 3-5 only, plus credit card fee
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay by Credit Card
Submit
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