Name Address Phone ______
Name _________________________________
Please indicate riding level _______________________
Address _______________________________
Horse level ____________________________________: *Fees: Riding $20 ____ Riding Children under 12 $15____
_______________________________ Phone ________________________________ Cell Phone _____________________________ Email _________________________________ Horse Name ___________________________ Age: _______
Sex: M G S
I am interested in being a riding group leader Yes ____ No ____
Walking $10___ Children under 12 $8 ______ *Includes boxed lunch Please list any dietary restrictions: ___________________ ____________________________________________________ Please make checks payable to CCE Saratoga or by credit card
Master Card
Visa
Credit Card # __________________________________
Exp Date _____________________ I am Riding ________
Walking _______
Children must be 8 years or older to ride. All children (walking or riding) must be accompanied by an adult. Mail, Fax or email to: 50 West High St., Ballston Spa, NY 12020 - 518-885-9078 - [email protected] Registration Form Waiver & Release for adults Acknowledgment of Risk form for minors Current negative coggins Closing date September 24. Late registrations will be accepted until Thursday, October 1 for a late fee of an additional $5. Special Raffle to Benefit 4-H Training Center Basket of Farnam Supplies Tickets $2 each or 3 for $5 Can be purchased at registration or at the ride
Name as it appears on the credit card: ______________________________________________ # of pre-purchased raffle tickets ______________ Include in payment Plenty of parking. Water available for horses. Bring your own bucket. Registration begins at 9:00 and pre-purchased raffle tickets can be picked up then. Pre-Ride Briefing at 9:30 a.m. Lunch available from 11:30—1:00 Children 18 and under must wear an approved ASTM/SEI helmet. Children must be 8 years or older to ride. All children must be accompanied by an adult. Please No Dogs. Rain Date Saturday, October 10.
For more information call Susan Ripley at 518-885-8995 x 2207 or email at [email protected]
Please indicate riding level _______________________
Address _______________________________
Horse level ____________________________________: *Fees: Riding $20 ____ Riding Children under 12 $15____
_______________________________ Phone ________________________________ Cell Phone _____________________________ Email _________________________________ Horse Name ___________________________ Age: _______
Sex: M G S
I am interested in being a riding group leader Yes ____ No ____
Walking $10___ Children under 12 $8 ______ *Includes boxed lunch Please list any dietary restrictions: ___________________ ____________________________________________________ Please make checks payable to CCE Saratoga or by credit card
Master Card
Visa
Credit Card # __________________________________
Exp Date _____________________ I am Riding ________
Walking _______
Children must be 8 years or older to ride. All children (walking or riding) must be accompanied by an adult. Mail, Fax or email to: 50 West High St., Ballston Spa, NY 12020 - 518-885-9078 - [email protected] Registration Form Waiver & Release for adults Acknowledgment of Risk form for minors Current negative coggins Closing date September 24. Late registrations will be accepted until Thursday, October 1 for a late fee of an additional $5. Special Raffle to Benefit 4-H Training Center Basket of Farnam Supplies Tickets $2 each or 3 for $5 Can be purchased at registration or at the ride
Name as it appears on the credit card: ______________________________________________ # of pre-purchased raffle tickets ______________ Include in payment Plenty of parking. Water available for horses. Bring your own bucket. Registration begins at 9:00 and pre-purchased raffle tickets can be picked up then. Pre-Ride Briefing at 9:30 a.m. Lunch available from 11:30—1:00 Children 18 and under must wear an approved ASTM/SEI helmet. Children must be 8 years or older to ride. All children must be accompanied by an adult. Please No Dogs. Rain Date Saturday, October 10.
For more information call Susan Ripley at 518-885-8995 x 2207 or email at [email protected]
