Barn Buddies Fall Registration

Barn Buddies Program Fall Program
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Address
Child’s Full Name

First NameLast Name
Child’s Age
Child’s Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Child
Allergies or Medical Conditions
Special Requirements / Notes
CONFIRMATION: BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. I hereby give my approval for my child’s participation in any and all activities prepared by Stable Life during the selected program In exchange for the acceptance of said child’s candidacy by Stable Life, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Stable Life and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected program sessions. In case of injury to said child, I hereby waive all claims against Stable Life including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including equestrian. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
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Session 1
Starting Sept 26- Oct 17

$100.00 CAD Quantity



Session 2
Oct 24- Nov 14

$100.00 CAD Quantity



Session 3
Nov 21- Dec 12

$100.00 CAD Quantity



Total

$0.00 CAD
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Barn Buddies Program Fall Program

My Products

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