September 30th Kids Night At The Farm
Please fill out the following form in full to register for Kids Night At The Farm. September 30th, 5:30pm-8:30pm. Kids Night At The Farm is for age 5-14. You will be emailed a receipt upon completion.
Child's Name #1
Child's Name #2
Child's Name #3
Street Address Line 2
Two Emergency Contacts- Name, Relationship, & Phone Numbers
Special Notes & Medical Info (Allergies, etc.)
Notes To Blue Heron Riding Academy
How did you hear about us?
Kids Night Out Payment & Details
Cost is $30/child and includes a pizza dinner. Payment for all children being registered must be submitted with registration in order to hold the spots. Kids Night Out payments are not refundable. Please look for an email closer to the event date that will include event details and a link to a liability release to fill out prior to the event.
Kids Night Out Payment-
( X )
Kids Night Out (per child)
Should be Empty: