Intro Lesson Reservation Here You will need get a copy of this, Download & please fill out. Click Here for Waiver Form *You can upload your form to us* (last page) 2*-Lesson-introductory "*" indicates required fields Step 1 of 5 20% Reservation For*Student 17 yr or youngerAdult 18 yr and upName Adult Student* First Last Name Parent/Guardian* First Last Email* Cell Phone*Person filling out this form?*ParentLegal GuardianOtherName-for other* First Last How Related to Student? Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Name* First Last Student's Age (Youth)*67891011121314151617Age-Adult*18192021222324252627282930313233-3536 and overStudent Grade*K1st2nd3rd4th5th6th7th8th9th10th11thStudent's Weight (18 yr and older) Adult*50 - 60 pounds61 - 70 pounds71 - 80 pounds81 - 90 pounds91 - 100 pounds101 - 110 pounds111 - 120 pounds121-130 pounds131 - 140 pounds150 plus- poundsFor safety and health of our horses we need to know this. Student's Weight (Adult) 150 or more*151-160 pounds161-170 pounds171-180 pounds181-190 pounds191-200 pounds201-209 pounds210-219 pounds220-229 poundsmore than 230 poundsFor safety and health of our horses we need to know this. Student's Weight (Youth)*50 - 60 pounds61 - 70 pounds71 - 80 pounds81 - 90 pounds91 - 100 pounds101 - 115 pounds116 - 130 pounds130 - 150 pounds150 pounds or moreStudent's Weight (Youth) 150 or more*151-160 pounds161-170 pounds171-180 pounds181-190 pounds190-201 pounds201 over in poundsFor safety and health of our horses we need to know this. Student Birthday* MM slash DD slash YYYY Student's Height*3'8" - 3'11"4' - 4'4"4'5" - 4'7"4'8" - 4'11"5' - 5'3"5'4" - 5'7"5'8" - 6'6' or morePrevious Riding Experience*None0-5 hours (walk only)5-20 hours (walk only)5-20 hours (walk,trot)20+ Rider able trot, lope on their ownCurrently taking Lessons 2-4 times/month, trot, lope on their ownNot taking lessons ride 3-4 times/month, trot, lope on their ownPlease describe rider's experiences with horses and riding:*If no experience, write "none". Medical InformationKnown Allergies* Yes No Allergies*(check all that apply): Animals Insect Stings Medications Food Hay Fever/Pollen Plants Other Other/Specify Allergies:* Known Medical Conditions that could affect student's riding* Specify Other Illness or Chronic Condition:* Important Safety Information*Horseback riding is a very physical outdoor recreational activity. For student safety and the safety of others, participants must meet certain physical requirements to take lessons at M&M Ranch. Our lessons are designed for our students to ride in groups. Students must be in good physical shape and not have any conditions that may affect their ability to participate in all aspects of lessons and horse care. These include but are not limited to items such as arthritis, excessive weight, back or neck pain, decreased motor skills or other physical issues that may contribute to a difficulty balancing, staying seated, holding the reins or controlling a horse. Students must be able to mount and dismount a horse without assistance (Instructors will help younger students). Students must be able to meet the rigors of riding, including dismounting the horse without stirrups. Students must have the ability to independently remain seated and balanced on a horse in motion while simultaneously directing a horse's travel and speed for at least 1-2 hours. Students must be able to withstand all seasons of exposure to the outdoors, including hot, cold and or wet weather for a period of 1-2 hours. For the safety of all students, we do not offer services for special needs riders. We recommend that you visit R.O.C.K. - Ride On Center for Kids which specializes in special needs riders. We are not set up to have one on one instruction with riders who have special physical or emotional limitations. Thank You! I have read and understand the Important Safety Information on attending riding lessons at M&M Ranch. How did you hear about us?*FriendRelativePrevious CamperCamp Advertising SiteSearch on InternetotherPerson you heard from?* Which website did you hear about us?* Lesson PolicyRiding Requirements* Each rider must have a signed Liability Release Form to ride. Long pants (Blue jeans recommended) and closed in shoes required, boots preferred.. Yes I read and understand Waiver Form* Yes, I have received a copy of the M&M Ranch Waiver Form *You can upload your form here instead of emailing it. Please upload your Signed Waiver Policy FormMax. file size: 1 GB.Cancellation Policy*We do not refund once payment is made for any reason. Please notify us by email (DO NOT TEXT) at least 48 hours prior to cancellation or lesson will be forfeited. Scheduled make-up lessons must be taken within 30 days or if missed will be forfeited. In the event a rider does not attend/cancels their make-up lesson, the lesson is forfeited and is ineligible for rescheduling. There are no refunds for missed or being late for lessons. Monthly Lessons We do not do make-up for bad weather days since we provide a barn lesson. If M&M ranch determines that the lesson will need to be cancelled, then we will schedule a make-up day. I have read and understand the Payment, Cancellation, Refund Policy Days offer IntrosDays and estimated start times available for Youth Intro lessons*Check off all days available for lesson. We will email you with date(s) get you scheduled. Thursday AM (8:30-9:30 a.m.) Friday AM (8:30-9:30 a.m.) Saturday AM (8:30-9:30 a.m.) Prefer different option Other days if none of previous times will not work. (Youth)* Wednesday AM (9:30-10:30 a.m.) Thursday AM (9:30-10:30 a.m.) Friday AM (9:30-10:30 a.m.) Saturday AM -(9:30-10:30 a.m.) Friday PM - 5:30 p.m. (June-Aug) Not available We are closed on Sundays. These are estimated start times. Days and estimate start times available for Adult Intro lessons*Check off all days available for lesson. We will email you with date(s) get you scheduled. Thursday AM (8:30-9:30 a.m.) Friday AM (8:30-9:30 a.m.) Friday PM - 4:30-5:30 p.m. (June-Aug) Not available Prefer different option Other days if none of previous times will not work. (Adults)* Wednesday AM (8:30-9:30 a.m.) Thursday AM (9:30-10:30 a.m.) Friday AM (9:30-10:30 a.m.) Tuesday PM - 5:30 p.m. We are closed on Sundays. Let us know which day(s) prefer. Any info need us to know about your schedule. Prepare lesson info*An email will be sent, soon after your reservation. This will help prepare you for your lesson. Yes I read and understand We will email and confirm your lesson schedule, after we get your reservation.*We will email you (Typical time- within 1-3 days) to confirm your lesson date & time. Yes I read and understand PaymentLesson For*Intro Lesson4 Youth Beg- Lessons (6-7 yr.)Lesson Payment* Price: Process Fee* Price: $0.00 Coupon Total Credit Card*Card Details Cardholder Name IMPORANT*Submitting your enrollment may take a few moments. Don't refresh or close the page after you make your payment. After you make the payment it will take you to our website. Yes, understand PhoneThis field is for validation purposes and should be left unchanged.