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Therapeutic Riding Summer Camp 2018
Client Information
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First Name
Last Name
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00/00/0000
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

Medical Consent Form Information
As a courtesy to our clients, the Ranch will fax over the Medical Consent Form to the client's physician.



Use this to upload your completed liability release form. The release form can be found under the Get Involved page on the website.

Use this to upload your completed Medical Consent Form. The medical form can be found under the Get Involved page on the website.
Payment
Click Pay online for immediate payment. Click on Pay by Check/Cash. Mail or Drop off the payment to Bit of Hope Ranch, 5001 CR Wood Rd Gastonia, NC 28056
$
Mail or drop off payment to: Bit of Hope Ranch 5001 CR Wood Rd Gastonia, NC 28056