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Summer 2008 Continuing-Registration-Form

The document is a continuing registration form for a six-week summer session from June 16th to July 23rd at Heroes on Horseback. It requests the participant's contact information, emergency contact details, any medical conditions or changes, and signature to reserve their space for the $150 session.

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bernardhhi
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
35 views

Summer 2008 Continuing-Registration-Form

The document is a continuing registration form for a six-week summer session from June 16th to July 23rd at Heroes on Horseback. It requests the participant's contact information, emergency contact details, any medical conditions or changes, and signature to reserve their space for the $150 session.

Uploaded by

bernardhhi
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Heroes on Horseback

CONTINUING REGISTRATION FORM


SUMMER SESSION 2008 – 6 weeks
June 16th through July 23rd

Please sign below to indicated your plan to participate in the Six Week Summer 2008
session. Please indicate any information that has changed since the last registration.
Session Fee is $150. Please contact the office if payment arrangements are needed.
Your instructor will be in touch with you to confirm the lesson time.

Participant Name: __________________________________________________

Lesson DAY OF WEEK:______________________

Indicate changes below:


E-Mail Address: Home Phone: Mobile Phone:

Address: City: State / Zip:

Emergency Contact:: Phone: Phone:

Medical Conditions & Medications:

Other :

□ To my knowledge there are no known changes to the participant’s medical conditions,


medications or contact information.

Please reserve my space in the Six Week Summer 2008 Session June 16th – July 23rd
SIGNATURE/ DATE:

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