Patch Riders Club
School Holiday Program Registration Form
Please register me/my child for:
Novelties - 9th January
Pole/Jumping - 10th January
Horsemanship 1 - 11, 18, 23 & 25 January
Horsemanship 2 - 16, 17, 18 & 19 January
Arts & Craft 1 - 17th January
Arts & Craft 2 - 24th January
Student First Name:
Student Date of Birth:
Emergency Contact Name:
Relationship to student:
Add my email to your newsletter email list:
Consent for photos on Facebook?
Consent for photos on Internet/Website?
Consent for photos in Newspaper?
Medical Form already provided?
I will pay my fees by:
Any comments and questions?
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