Mini Horsemanship School Enrollment

Student Name

First NameLast Name

Gender

Age

Parent/Legal Guardian

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Legal Guardian Email

example@example.com

Parent/Legal Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relation to Camper

How did you hear about us?

What is your child's experience with horses, if any? What are their goals or main focus for this program, if any?

To help your child have a great experience, is there any additional information you would like us to know?

Does your child have any allergies, medical or otherwise? If yes, please list below. If no, please type "no known allergies" below.

Release and Waiver of Liability, Assumption of Risk and Indemnity.

TerraNova Equestrian Center's Release and Waiver of Liability, Assumption of Risk and Indemnity may be executed by electronic signature in accordance with Florida law, and electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

Payment Method

Please Note: All payments are due prior to enrollment.

Mini Horsemanship Monthly

By selecting this option, you choose to have payment automatically paid via ACH or Credit Card every 30 days. You may cancel your monthly subscription at any time.

$225.00 for each month

Email

Payment Methods

Debit or Credit Card

ACH Bank Transfer

Total:

CC Fee is 3.5%

Mini Horsemanship School Enrollment

Please Note: All payments are due prior to enrollment.*

Please Note: All payments are due prior to enrollment.