Lesson Registration Form | kimberley

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RIDING SCHOOL
- Lesson Registration Form
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Riding School Registration

Do not fill out registration form unless you have spoken with Jamie or Kim

Registration

Participant

To register, please take the time to fill out the information below.

First Name

Last Name

Email

Phone

Birthday

Address

Postal Code

City

Medicare # and expiry date

Please state any known medical conditions such as disabilities, allergies, illness, etc.

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