Summer Riding Program Registration
Date of birth____________ Age__________ current grade ___________
Approximate height and weight (to ensure we have the appropriate size horse )
Primary Guardian Name:
Guardian 2 Name_______________________
Does your child have an Allergy? If so please detail any treatment plan:
Are there any behaviors that we need to be aware of in order for this to be a safe and enjoyable experience for everyone?
Please initial that you have read and understand our helmet policy.
__________________I will provide an ASTM-SEI approved equestrian helmet for my child.
Please mail this form along with your $225 non-refundable, non-transferable deposit for new all students. Returning students $200 registration fee.
Checks payable to :Churchill Stables LLC
51 Dudley Road, Bedford MA 01730