Patch Riders Club
Riding Activity Program Registration Form
Riding Activity Program Registration
Please register me/my child for: (20% off for more then one program)
R.A.P - 11th Oct - Novelties
R.A.P - 12th Oct - Pole/Jumping
R.A.P - 13th Oct - Ride Out
Student First Name:
Student Date of Birth:
Horse (The horse you use in regular lessons)
Emergency Contact Name:
Relationship to student:
Add my email to your newsletter email list:
Consent for photos on Facebook?
Consent photos for Website?
Consent for photos in Newspaper?
Medical Form already provided?
I will pay my fees by:
Any comments and questions?
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The Riding Patch 2015 We welcome your thoughts - any comments, problems, likes or dislikes for the web site? email: info