Todd Acres LLC.
25248 SW Oberst Rd. Sherwood, OR 97140
Program Registration
Name
First Name
Last Name
Name
First Name
Last Name
Name
First Name
Last Name
Date of birth
Date of birth
Date of birth
Parent/Guardian Name(s) if under 18
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please describe and allergies or health concerns. If none, type "N/A"
Gender
Female
Male
Other
Health Insurance company and member ID
1st Emergency Contact
2nd Emergency Contact
Interests:
Private horsemanship lessons
Private riding lessons
Equine Education classes
shows, parades, community events
summer camp
equine assisted therapy
competitions
on-site clinics and workshops
Parent's Night Out
Trail and brush clearing
Parties, special events
property maintenance and repairs
mucking stalls and paddocks
teen groups
ladies only socials
fundraising
4-H
horse training
horse bodywork
rabbit care
gardening
painting
construction projects
Other
If you're interested in reserving a class seat in our Equine Ed. program for the 2025/26 school year? *request more info to be sent
What would be your preferred schedule for private lessons?
What do you hope to gain from your experience at Todd Acres? Any particular goals? Anything you would like us to know that may help ensure the best experience for you and your family?
Please note that payment for services are due ahead of time. What is your preferred method of payment?
Venmo
PayPal
Square
check
cash
Zelle
Other
May we share photos you may be in on social media?
yes
no
Are you interested in volunteering in any capacity? ( no pressure!!)
yes
no
If you answered yes, what would this look like for you? Any special skills or experience you'd like to share? How often/when would you be available to help?
Are you a business owner? If so, are there any ways you would like to partner?
We're a small family owned business and love to show our appreciation when clients refer their friends. Earn $5-$10 per person. Would you like us to send you some more details about this?
yes!
no thanks
not for me, but I know someone who would be great at this!
Name:
Signature:
Date
-
Month
-
Day
Year
Date
My Products
*
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New Client Registration Fee
(per family)
$
20.00
Quantity
1
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10
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*
Payment Methods
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