Rider's Name:            

Age:             Select Age 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 years old 19 years old 20 years old Adult     

Has ridden before?   (Pony rides at a carnival or fair do not count)          No     Yes

If Yes, please state experience level: 

Parent or Guardian e-mail address:            

Parent or Guardian phone number:            

Select Week:

  June 21 - 24, 2010

  August 2 - 5, 2010

Choose from:

Session 1 (2:00 to 3:30 pm)

Session 2 (3:00 to 4:30 pm)