Horseback Riding Lessons!

Rider's Name*

First NameLast Name

Rider's Age*

Parent's Name (if under 18)

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Who is completing this form?*

Your Name

I am the riderI am the parent or legal guardianI am a family member (not legal guardian)Other

New ClientExisting Client, currently taking lessons

YesNo. (If no, please keep an eye out for Mrs Codi’s call to give you availability, thank you!)

I understand the Refund policyOther

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

I agree to the Photo ReleaseI 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 PolicyI 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 911 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 belowThe participant has an allergy condition described belowThe participant is healthy, with no medical or allergy conditionsOther

Medical or Allergy Conditions

Emergency Contact - if other than parent information above

First NameLast Name

Emergency Contact Phone Number - if other than parent information above

Please enter a valid phone number.Format: (000) 000-0000.

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

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
Item subtotal:$0.00

Horseback Riding Lesson - 4 pack per rider

4 pack cost is $240, plus $10 credit card fee

$250.00 Quantity

Horseback Riding Lesson - Ages 3-5

Lesson price for ages 3-5 only, plus credit card fee

$50.00 Quantity

Total

$0.00

Pay by Credit Card

Registration for Horseback Riding Lessons

Pay by Credit Card