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Rider Registration Form
Please Print Out this Form and Send/Bring it to Rainbow Stables, at the Address Provided Above.

Name:__________________________________ Date of Birth: ______________________

Address: _______________________________________

________________________________________ Postal Code: _______________

Parent/Guardian: ________________________________________

Phone #: _____________________ Easter Seals Affiliation:    yes    no

 

Session Requested		Fee Paid
Spring (May-June)	$65.00	_________
Summer (July-August)	$65.00	_________
Fall (Sept-Oct)	$65.00	_________
Winter (Jan-March)	$98.00	_________
(Full Season discount 10%)	TOTAL	_________  cash   cheque

Year: __________

Receipt #: ______________________

Please Make cheques payable to the TIMMINS THERAPEUTIC RIDING ASSOCIATION and mailed or delivered in person to the above address.

All fees MUST BE RECEIVED 1 WEEK PRIOR to the first riding lesson or your spot will be given to another rider on our waiting list.

Any questions, please call our Instructor/Program Coordinator - Lydia Dubanow 268-5994