New Riding Club Member Application
To become a Little Burgundy Farm Riding Club member, you must have the ability to learn how to safely and independently catch the horse, groom, tack, walk, trot, and canter. Additionally, we are unable to accept members who weigh more than 185 pounds due to the type of horses we have at our stable.
Email address *
Last name of adult rider (or parent if rider is a minor) *
Your answer
First name of adult rider (or parent if rider is a minor) *
Your answer
First name(s) of child/children if rider is under 18 (please leave blank if rider is an adult)
Your answer
Age of rider *
Your answer
Height of rider (in inches) *
Your answer
Weight of rider (must be under 185lbs) *
Your answer
Short description of riding experience *
Your answer
What are your riding goals?
Your answer
Which answer below best describes your current situation: *
Did you purchase a Groupon deal? *
If you did purchase a Groupon deal, which one did you purchase? (leave blank if you did not purchase a Groupon)
If you did purchase a Groupon deal, please provide your Groupon coupon code? (leave blank if you did not purchase thru Groupon)
Your answer
Phone number where we can reach you
Your answer
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