Mini Rider Name_________________________________
Address__________________St____________Zip_________
Age_______Grade In School____________
Phone________________Email________________________
Name Parent or Guardian___________________________
Horses Name_______________________________________
DO YOU NEED A HORSE? YES NO
WE ASK THAT YOU ATTEND ONE PRACTICE WITH HORSE IF POSSIBLE.
FOR ALL RIDING PRACTICES HELMETS AND BOOTS ARE REQUIRED.
ALL RIDERS MUST HAVE PARENT OR GUARDIAN PRESENT TO PRACTICE.
THE MINI RIDER PROGRAM REQUIRES BEING A MEMBER OF HENRY COUNTY SADDLE CLUB FOR INSURANCE PURPOSES.
SADDLE CLUB MEMBER SIGNATURE: ____________________
PARENT/GUARDIAN SIGNATURE:_______________________
______________________________________________________________________________________________