2026 Program Interest Form

2026 Program Interest Form
I wish to participate in…

Weekly Half Hour Private lessons $275/monthWeekly Hour Group lessons $250/monthLeasing a Horse: 6 Month Minimum Contract, Partial LeaseLeasing a Horse: 6 Month Minimum Contract, Full LeaseSummer Lease Contract, Full LeaseSummer Lease Contract, Partial LeaseMommy & Me (now by individual family appointment) $50/sessionTots that Trot Weekly Lesson $275/monthLadies Night Tuesdays 7pm $50/class or $150 monthlyToddler Tuesdays 10am-11:30am $40/class or $140 monthlySaddle Up Saturdays 4pm drop in mixed level group lessons $50/lesson
Partcipant Name

First NameLast Name
Riding Level

Never ridden before (except perhaps on a vacation trail ride or over 15 years ago at a beginner level)BeginnerAdvanced Beginner (learning to trot)Novice (learning to canter)Intermediate Novice (learning to jump and still also improving the canter)Intermediate (learning to jump a few fences in a row)Advanced Intermediate (proficient at the canter, pursuing more challenging over fences courses)Advanced (consistently jump 2’6” courses or above without feeling nervous)
Rider Age Bracket

6 years or younger6 -8 years old9 - 12 years old13 - 16 years old17 - 25 years old26 - 40 years old40 - 60 years old61+ years old
Please check off any boxes you’d like more information about:

Summer Camp 2026Interscholastic EquestrianHalf or Full Leasing a Horse/PonyBoarding at QRF
Primary Phone Number **Mobile Preferred**
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
By signing below, I agree to all barn rules when present at Quiet Rein Farm. I agree to fill out any necessary forms which will be provided by email once my form has been processed, including payment forms and a rider release form. I understand that QRF has a 24 hour cancellation policy and that I must give 24+ hour notice regardless of reasoning in order to reschedule. I understand that I must be dressed appropriate for the weather, and have long pants and close toed shoes on in order to be able to participate.
Signature
Date Signed

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Date
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