Flying Cross Exercise Rider/Jockey Mentorship Program Application
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Riding Background
Career Goals
Any injuries affecting riding suitability?
Yes
No
If yes please explain below.
Riding assessment in person at Flying Cross Ranch or via video submission?
In Person
Video
Riding Video Submission
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