Rider Inquiry and Information Form
Please fill out this inquiry form, after we receive your information, we will contact you as soon as possible for scheduling.
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First Name
 *
Last Name
 *
Phone Number
 *
Email Address
 *
Full Name of Rider (if other than self)
Riders Age
 *
Riders Approximate Weight
 *
Emergency Contact Name
 *
Emergency Contact Number
 *
Emergency Contact Relation to Rider
Briefly describe your horse riding experience, select all that apply
 *
Required
I am looking for, select all that apply
 *
Required
Please share your availability during the school year (please note, the lesson times we offer depend on rider level.  Not every level has a lesson every day of the week. There are no lessons on Sundays)
  How often do you plan to attend monthly lessons?   *
Is lesson for a youth registered with Arizona ESA?  We are an ESA approved vendor and horse back instruction is an approved expense.  
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