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Nirvana Equestrian - Riding Lesson Registration & Wavier
Participant Information
First name
*
Last name
*
Birthday
*
Month
Day
Year
Parent/Guardian Name (if minor):
Phone
*
Email
*
Address
*
Rider Experience & Goals
Riding Experience
*
Beginner
Intermediate
Advanced
Have you ridden before?
*
Yes
No
If yes, where?
Comfort Level (check all that apply)
*
Groundwork
Walk
Trot
Canter
Jumping
Goals (check all that apply)
*
Learn basics
Build confidence
Horsemanship/horse care
Competitive riding
Emotional growth/therapeutic benefit
Scheduling & Lesson Preferences
Preferred Days:
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Times:
*
Early Morning
Late Morning
Early Afternoon
Evening
Desired Start Date:
*
Lesson Type (check all that apply)
*
Private
Semi-Private
Group
Groundwork Focus
Rider Consideration
Optional, but Helpful
Anything we should know to support the rider's expereince?
Comfort level around horses
Nervous
Some experience
Confident
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