Program Registration

Blue Rider Stables Program Registration Form

Participant Name *

Parent/Guardian Name *

Birth Date *

Age *

Phone *

Email *

Please check here if we can add you to our email list to stay up to date on Blue Rider News and Events

Yes! Add me to your email list

Program *

Wednesdays 4:00 - 4:30 pm - $120

Riding Experience

Please describe your child's riding experience.

Relevant Information

Please include any additional information that will help our instructors work more effectively with your child. This includes food and environmental allergies, medical diagnoses, injuries and health history.

Payments

When you hit submit on this form you will be brought to Paypal, where you can pay for the program using your credit card. If you prefer to pay by check, you can close the Paypal page and remit payment to: Blue Rider Stables, PO Box 924, Great Barrington, MA 01230

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