Benchview Lesson Registration Form
Rider's Name
*
First Name
Last Name
Age
*
Gender
*
Height/Weight
Years of Riding Experience
*
Riding Level
No riding experience
Some camp/lesson experience
Can walk/trot on their own
Can walk/trot/canter with confidence
Can walk/trot/canter and jump small jumps
Flatting and jumping courses 2ft-2ft3
Flatting and jumping courses 2ft3-2ft6
Flatting and jumping courses 2ft6+
Western experience
Dressage experience
Parent/Guardian Name (if rider under 18)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about our lesson program?
Please Select
Camp
Newspaper Ads
Social Media
Word of Mouth
Flyer
Comment/Questions/Additional Info
Submit
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