NEW YORK CITY RIDING ACADEMY
Academy Administrative Office Location
P.O. Box 690517
East Elmhurst, New York 11369
Academy Manhattan Location
One Randall's Island Park
New York, New York 1003S
TELEPHONE (212) 860-2986
NEW YORK CITY RIDING ACADEMY 2026 STUDENT APPLICATION
Please complete the student application.
Student's Name:
Birth date:
-
Month
-
Day
Year
Date
Age:
Sex:
Level of Riding:
Beginner
Intermediate
Advanced
Height:
Weight:
Returning Rider?
Yes
No
Parent/Guardian Name:
Email:
example@example.com
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone:
Format: (000) 000-0000.
Rows
Week 1
Week 2
Week 3
Week 4
Number
Time
May
June
July
August
September
TOTAL NUMBER OF LESSONS REQUESTED:
List any special medical conditions:
Print Name:
Signature:
Occupation:
Business Phone:
Format: (000) 000-0000.
Print Guardian's Name:
Guardian's Signature
Date:
-
Month
-
Day
Year
Date
Submit
Should be Empty: