PENZANCE ACADEMY of HORSEMANSHIP ONLINE REGISTRATIO

                                PENZANCE ACADEMY of HORSEMANSHIP
                                                                              ONLINE REGISTRATION FORM

NAME: DATE:

ADDRESS:

TELEPHONE: E-MAIL ADDRESS:

AGE: (if under 18 years old) PARENTS NAME:

PARENTS ADDRESS:

PARENTS TELEPHONE: (HOME) (WORK)

EMERGENCY CONTACT: RELATIONSHIP TO YOU:

EMERGENCY TELEPHONE:

DOCTOR'S NAME:

DOCTOR'S TELEPHONE: INSURANCE NAME:

INSURANCE GROUP NO: POLICY NO:

LEVEL OF EXPERIENCE WITH HORSES:

Please indicate below the program for which you are registering and click on PAYPAL Logo to send payment over secure online payment: Note that the fee indicated on the paypal order may be $1.00 less than advertised cost and $1.00 shipping and handling is added onto each item. This is the way the program is set up with PayPal. The fee remains the same.

HORSE SCIENCE FOR THE HOMESCHOOLER

EQUINE PSYCHOLOGY & BEHAVIOR

HORSE CARE & MGT. I

HORSEMANSHIP FOR THE OLDER ADULT

CLICKER TRAINING WORKSHOP
without horse:

with horse:

HORSEMANSHIP WORKSHOP

1 DAY W/O HORSE

2 DAY W/O HORSE

1 DAY W/HORSE

2 DAY W/HORSE

ADULT CHRISTIAN HORSELOVER'S CAMP

CHRISTIAN HORSELOVER'S YOUTH CAMP

EQUINE MANAGEMENT STUDENT
2 weeks:

4 weeks:

NEW STUDENT REGISTRATION FEE
(required of all new incoming students.)

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You may pay through PAYPAL to register. Just click on the PAYPAL Logo. After paying through PAYPAL, please print out this registration form, complete it and mail to: PENZANCE, 200 South Street, Douglas, MA 01516 (508) 476-1317.
BE SURE TO NOTE THAT YOU'VE PAID THROUGH PAYPAL ON YOUR FORM. You will be contacted after receipt of your registration form for confirmation and date preferences.
All NEW STUDENTS must pay a $35 annual registration fee. Be sure to add this to the total of the courses/camps/workshops for which you are registering.

All students must be appropriately dressed for riding including; long pants, boots, and approved HELMET. (Adults may waiver helmet, however PENZANCE strongly recommends wearing a helmet while mounted.) Students must bring their own drinks, lunch and snacks. Sunscreen is adviseable during hot summer months. Swimsuits, towels, shorts, sneakers are approved for any non-equine activity. Notebook, pen or pencil required for courses. Equine Management students must supply their own grooming kit and lead ropes. Treats are acceptable for the horses only with prior permission. Each student must read the "Rules and Regulations" and sign a RELEASE OF LIABILITY form prior to admittance to PENZANCE. If student is a minor BOTH student and parent must read and sign the Release. Anyone bringing his or her own horse to PENZANCE must show proof of a NEGATIVE COGGINS prior to being admitted to PENZANCE. Confirmation of registration will be sent to enrolled student or a confirming phone call will be received by the student. All classes will be held regardless of inclement weather unless said forecast suggests dangerous conditions. Missed assignments or classes must be made up prior to receiving certificate and will be arranged with instructor.

Extended hours may be arranged with Director by contacting (508) 476-1317. In some cases, residential students may be admitted with prior arrangement and at added fees. Please inquire.

Any personal physical or emotional health issues should be brought to Director's attention prior to admission. Please make note on Registration form and you will be contacted.