Adult Group Adventure 3 Hours: Reservation & Registration

Town Line Equestrian School

Adult Group Adventure Package *This form is NOT a liability waiver.
Date of Adult Group Adventure Package

MonthDayYear
Date
Number of riders in your group:
Name of Rider #1*

First NameLast Name
Date of Birth of Rider #1*

MonthDayYear
Date
Name of Rider #2*

First NameLast Name
Date of Birth of Rider #2*

MonthDayYear
Date
Name of Rider #3*

First NameLast Name
Date of Birth of Rider #3*

MonthDayYear
Date
Name of Rider #4*

First NameLast Name
Date of Birth of Rider #4*

MonthDayYear
Date
Name of Rider #5*

First NameLast Name
Date of Birth of Rider #5*

MonthDayYear
Date
Name of Rider #6*

First NameLast Name
Date of Birth of Rider #6*

MonthDayYear
Date
Address of Main Contact Person*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary/Parent Phone Number of Main Contact Person*

Area CodePhone Number
Parent/Guardian/Conservator Name

First NameLast Name
Best Contact Email*
example@example.com
I understand that all services are non-refundable.*

Yes

My Products*

Adult Group Adventure Package- 3 HoursTown Line Equestrian School Adult Group Adventure: 3 hours. Cost is per person.

$150.00 Quantity

Total

$0.00

I understand that upon completion of this form and prior to my Adult Group Adventure, a Liability Release is required to be filled out and submitted for each participant.*

Yes
I understand that proper attire is required: long pants, boots (of some kind), a helmet (provided).*

Yes
Please follow the following link and complete a Liability Release for each participant: Town Line Farms Liability Release
Should be Empty: