Horse Club Registration - 2019 - Youth

Dreamweaver Ranch

If you are registering for more than one person, please fill out a separate registration for each person.

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* 1. Participant Information

Participant First Name

Participant Last Name

Parent/Guardian

Address

City

Postal Code

Home Phone

Cell Phone

Email Address

Date of Birth (M/D/Y)

Age

Emergency Contact Name & Number

Alternate Contact/Spouse Name

Alternate Contact/Spouse Number

Allergies?

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* 2. Please choose which level you would like to register for.

Level 1 (no experience necessary)

Level 2 (must have completed level 1)

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* 3. What would you like to see your child gain as a result of their participation in the horse club program?

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* 4. Does your child have any previous experience with horses? If yes, please describe.

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* 5. Are there any medical conditions, limitations, or behavioural issues that may affect your childs abilities to ride or participate in horse related activities?

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* 6. The registration fee for 6 sessions of Horse Club is $155 (includes a t-shirt). Your paid registration holds your spot. We accept cash, cheques, or email money transfers. If paying cash or cheque, you can drop off your payment at my office (601 Mowat Ave, Fort Frances – above the Credit Union) or to my house (240 Fisher Road, Emo). If paying by eTransfer, please send payment to aphalvorsen@hotmail.com using the password - horses.

How will you be paying?

Cash

Cheque

eTransfer

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* 7. T-shirts range in sizes from youth XS to adult 3XL. What size would you like?

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* 8. How did you hear about Dreamweaver Ranch?

Radio

Newspaper

Friend

Facebook

Other (please specify)

Thank you for registering. Please bring your signed Barn Rules and Liability Waivers to the first Horse Club. If you have any questions, please call or text (807) 276-5101.