HILLSIDE TRAINING STABLES

REGISTRATION FORM

NAME____________________________________________________________________________________

ADDRESS_________________________________________________________________________________

CITY, STATE, ZIP CODE_______________________________________________________________________

TELEPHONE_____________________________EMAIL_____________________________________________

AGE_____________HEIGHT________________________WEIGHT*___________________________________

DESIRED CLASS (Please state whether Fun With Horses or Own A Horse For a Week Camp)

                                      (1st Choice)_____________________________________Extended Day?_________________

                                     (2nd Choice)_____________________________________Extended Day?_______________

PREVIOUS EXPERIENCE________________________________________________________________________

*Since we use English Saddles, there is a weight limit of 165 lbs. MAXIMUM allowed.

PLEASE NOTE!! NO RESERVATION WILL BE MADE IN DESIRED CLASS WITHOUT PAYMENT ENCLOSED. RESERVATIONS ARE ACCEPTED ON A FIRST COME, FIRST SERVED BASIS.  PLEASE BE SURE TO COMPLETE ALL INFORMATION REQUESTED.  A CHECK OR MONEY ORDER IS REQUIRED TO RESERVE YOUR SPOT, HOWEVER, IT WILL NOT BE CASHED UNTIL THREE WEEKS BEFORE THE START OF CAMP.  WE ALSO ACCEPT  CREDIT AND DEBIT CARDS THROUGH PAYPAL. GO BACK TO THE SUMMER CAMP PAGE TO USE THIS OPTION.  SEND COMPLETED FORM ALONG WITH YOUR CHECK, MONEY ORDER OR PROOF OF PAYMENT VIA PAYPAL TO:

HILLSIDE TRAINING STABLES, 9065 OAK AVENUE, ORANGEVALE, CA. 95662.    If you have any questions please call Kathy at (916) 987-1667.

RELEASE OF LIABILITY

I hereby release Hillside Training Stables, Kathleen Pead, Jennifer Pead and her family; Olivia Johnson and any and all other stable employees of responsibility for any injuries or accidents incurred while I am on the premises.  I further understand that I enter the premises at my own risk and will not hold liable any of the aforementioned named.  It is understood that this is a potentially dangerous sport.   Hillside Training Stables takes every precaution possible to prevent accidents or injuries.  Helmets are required at all times around and while on the horses.  Helmets are provided by HTS.  Proper safety clothing is expected and  a recommended list will be provided to you by HTS.

______________________________________                   _______________________________________

SIGNATURE (Parent or Guardian)                                               DATE

EMERGENCY NUMBER (Where can be reached during class session)______________________________________

ANY SPECIAL NEEDS____________________________________________________________________________

CIRCLE Tee Shirt Size         YS       YM       YL       S       M        L

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