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Lesson Registration Form

You can now register for lessons at Cedar Fox Farm and pay in advance for a group of 6 lessons for $30 per lesson, for a savings of $30 (payment for one lesson at a time is $35 per lesson.)

Please print out the Cedar Fox Lesson Program Liability Release Form, sign it and bring it with you to your first lesson.

Student's Name (*)
Please let us know your name.
Age
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Weight
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Height
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Gender
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Parent/Guardian Name
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Mailing Address
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Email Address
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Phone
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Mobile Phone
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Emergency Number
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Physician's Name
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Physician's Phone
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Physician's Address
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Current Medications
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Known Allergies (include foods and medications)
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Previous Injuries/Surgeries
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Horse Experience
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Once you have selected the sessions you wish to register for, click the submit button and you will be taken to PayPal, our safe and secure payment processor, where you can pay your session fees with a credit card or a PayPal account. You DO NOT need a PayPal account to pay using PayPal.
Select Sessions and Pay through PayPal



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Total Due 0.00 USD

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Cedar Fox Farm

   1112 Reservoir Rd
   New Holland, PA, 17557

   Phone: 610-637-9958
   penny@cedarfoxfarm.com

 

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www.piersolperformancehorses.com

A Glimpse of Cedar Fox Farm

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