New Member Interest in River Bend Pony Club

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Full Name of Applicant *

Please include nickname in parens.

Date of Birth of Applicant *

Parent's/Guardian's Name *

Address *

Home Phone *

Cell Phone

Email Address of Parent *

Have you been a member of pony club before? *

If you have been a member of pony club before, which club?

If you have been a member of pony club before, what was your rating level?

Do you have a pony/horse available for use? *

Do you have trailer transportation to mounted lessons? *

Please tell us a little bit about your riding experience so that we can get to know you better.

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