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Therapeutic Riding Winter Session Registration Form Copy

This programs serves children and adults with disabilities and runs on Tuesdays starting Jan 9th for 8 weeks.  All new participants must pay a $15 Registration fee and $35/session (payable online or check/cash).   Also, all participants must have a Medical Consent Form signed by their physician as well as a guardian signed liability release form. 

Client Information
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First Name
Last Name
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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

Use this to upload your completed Medical Consent Form
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