Foothills Farm | Contact Information
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Rider Information
Rider's Name *
Parent or Legal Guardian Name of Junior Rider
*Required if rider is under the age of 18*
Address: Street Name and Number  *
City *
Postal Code *
Primary Phone Number (Home/Mobile/Work)
*main source of contact*
Email *
Do you have any Medical Conditions (Allergies, etc)? *
If answered "Yes", what are they?
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