New Student Form 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*--Student lesson-intro Step 1 of 6 16% Enrolling ForStudent 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Name* First Last Student's Age*67891011121314151617Student Grade*K1st2nd3rd4th5th6th7th8th9th10th11thStudent's Age (18 yr+)*18-2122-2526-3435-4445-5455-6465 or AboveStudent's Weight (18 yr+)*71 - 80 pounds81 - 90 pounds91 - 100 pounds101 - 115 pounds116 - 130 pounds130 - 150 pounds151 - 165 pounds166 - 175 poundsStudent Birthday* Date Format: MM slash DD slash YYYY Student's Weight*50 - 60 pounds61 - 70 pounds71 - 80 pounds81 - 90 pounds91 - 100 pounds101 - 115 pounds116 - 130 pounds130 - 150 poundsStudent'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*YesNoAllergies*(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?* Emergency ContactEmergency Contact Name*(Other than parent/guardian/person listed on enrollment form) First Last Emergency Contact Phone*Relation to Student* Lesson PolicyAre you bringing your own horse?*NoYesBringing Your Own Horse Policy*List of Requirements: broke, well behaved, and healthy. Copy of Current Coggin Teeth check within last 6-8 months (Float if needed) Current on feet care & recent exam for any pain. I have read and understand the requirements of bringing my own horse. Cancellation Policy-for 2 Day Intro Program*If for some reason, (e.g. emergency), you need to cancel the following conditions apply: The payment is non-refundable. If cancellation is made before Sept 1st by email. Conditions apply: Must be in writing confirmed by camp director, (1 lesson will be credited and used by November 21, 2020) If you have an emergency and need to cancel, please contact the camp director by email. We DO NOT offer refunds for ANY reason. Your enrollment will not be complete until we receive all required forms. I have read and understand the Payment, Cancellation, Refund Policy on attending summer camp at M&M Ranch. Riding 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 FormCancellation PolicyWe 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. Monthly Program-One make-up lesson per 9 lessons allowed. If M&M Ranch determines that a lesson will need to be rescheduled, then we will schedule a make-up day. (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 PaymentIntro Lesson (First time): Beginner I Semi-Private – 7yr & up: 2 lessons/month 45 min Intro Riding Skills Assessment: required for all new riders (Except those who recently have participated at M&M camp) 1 hr. (20 min riding) ** In a group lesson if only one student is able to attend then they will have a 30 minute private lesson. ** Enrolling For*Intro LessonBeginner I Semi-PrivateLesson Payment* Price: $0.00 Process Fee* Price: $0.00 Total $0.00 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.