Riding Lesson Registration Form
Rider’s Name: ___________________________________
Phone: _________________ Cell: ____________________
Sex: ____ Age: ____ Date of Birth: _____/_____/_____
I. Preferred Style of Riding: (Circle One) English or Western
II. Skill Level: (Check One Below)
______ * Beginner (New Rider/Walk/Trot)
______ ** Intermediate (Canter/Crossrails)
______ *** Advanced (Canter/Jump 2’ Controlled)
(Groups will be divided according to age and skill level)
III. Preferred Lesson Time (See Calendar for selection)
1st choice ______________________________________
IV. Session Selection
Final Summer Short Session (4 weeks-$140) August 6-27
Fall Session 16 weeks – September 2nd – December 23rd
Winter Session 16 weeks – February 2nd – May 29th
V. Lesson Fees
Individual Lessons $40 per lesson
Register for our 16 week session and pay per month and SAVE $80 ($140 per month - $560 total per session)
Register for our 16 week session and SAVE $160.00!! ($480 per session)
Lesson Fees are due by the first of each month
Our Lesson Cancellation Policy
We spend a lot of travel time getting to the barn getting the horses caught up and ready for a lesson, it is only
fair to us that we have a cancellation policy. Students who cannot make it to their lesson, must cancel 24
hours in advance. If lessons are canceled 24 hours in advance, you may schedule a make-up, otherwise the
lesson will be forfeited, charges will still apply.
Make-up lessons must be re-scheduled on designated make-up days.
Riders must wear a ATS/SEI approved riding helmet and riding boots with a heel. We have helmets available
for new students to borrow for the first few lessons.
Family member's and guests must wear proper foot wear when visiting.
VII. Please enclose this form, fees and the attached release form and mail to:
Blue Moon Farms
207 6th St.
Belmont, NC 28012