Dreams On Horseback · Traditional Riding Lesson

Traditional Riding Lesson - Waitlist Registration

Thank you for your interest in Traditional Riding Lessons at Field of Dreams! At this time, we have an extensive waitlist for our Traditional Riding Lessons. While we are happy to add you to that list, due to volume and COVID-19, we are unable to respond to inquiries at this time. We will reach out to you as spaces become available.

Please note we DO NOT offer public trail rides or one-time rides. Our lessons are formatted in 9-week sessions with riding lessons once per week.

Contact Information

Participant's Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Date of Birth

(mm/dd/yyyy)

Primary Phone

Mobile Phone

Participant height

Please indicate height in feet and inches (ex. 5'8")

Participant weight in lbs:

Please note that for the safety of our horses, we have a 200 lb. weight limit for our riders.

Please select the participant's level of riding experience:

Beginner: Able to ride independently at a walk.

Intermediate: Able to ride independently at a walk and trot.

Advanced: Able to ride independently at a walk, trot, and canter.

Participant's Availability for Lessons (please check all that apply)

Monday PM

Tuesday PM

Wednesday PM

Thursday PM

Friday PM

Saturday AM

Please let us know if the participant has any special needs or if there is other information you'd like to share with us.

Organization/Employer

Parent and Legal Guardian Information

Parent/Guardian #1:

First Name

Last Name

Parent/Guardian #1 Phone:

Parent/Guardian #1 Email

Please check this box if the address for this person is the same as the address for the participant.

Parent/Guardian #1 Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent/Guardian #2:

First Name

Last Name

Parent/Guardian #2 Phone:

Parent/Guardian #2 Email:

Please check this box if the address for this person is the same as the address for the participant.

Parent/Guardian #2 Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Caregiver Name (If present during program participation):

First Name

Last Name

Caregiver Phone:

Caregiver Email:

Please check this box if the address for this person is the same as the address for the participant.

Caregiver's Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Photo/Video Release

We love to share the many wonderful programs at our facility and photographs and/or videos help convey that message better than words. If permitted, we pledge to present the materials in a professional manner. Photos and audio/visual materials taken of me/my child/my ward may be used for promotional printed material, educational activities, exhibits, or for any other use for the benefit of the program. I hereby:

Consent to Photo Release

Do not consent to Photo Release

Signature

Type your name and date in this field to confirm your photo/video release. If participant is under the age of 18, the parent or guardian signature is required.