Application Form

Contact Details: (Parent or Guardian / Bill Payer)

Please leave this field empty.

Level of Experience (please tick):

Beginner (Learning basics OR No experience)Advanced Beginner (Walk, trot, starting to canter, canter small jumps)Intermediate (Walk, trot, canter and jump up to 60cm-80cm)Advanced (Confident Basics, Learning Lateral movements, Canter several jumps confidently to 80cm+

Students level of confidence:

LowMediumHigh

Level of fitness:

UnfitReasonablyVery Fit

Are you under 100kgs?

YesNo

Lesson Type (please tick all options):

Next term's wait listLead line lessons 1/2 hour. 5yrs+ (Sat AM only). SeasonalGroup lesson (5-6 riders) 55min - Most popular2 Rider lesson 55minPrivate lesson 55minHoliday Programme (don't need to fill out days to come for lessons)

Lesson Times (Please tick all options available as this increases your chances of fitting into our schedule.)

Note: Tick suitable times you can attend, even if the class type is not suitable as sometimes these levels change.

MONDAY

Daytime lessons from 11am – Private and Group times on application.
4.00 – 4.55pm Beginners5.00 – 5.55pm Intermediate Teens6.00 – 6.55pm Intermediate Adults

TUESDAY

4.00 - 4.55pm Beginners5.00 – 5.55pm Intermediate6.00 – 6.55pm Intermediate / Advanced

WEDNESDAY

Daytime lessons from 11am – Private and Group times on application.
4.00 – 4.55pm Advanced Beginners5.00 – 5.55pm Intermediate / Advanced Teens6.00 – 6.55pm Advanced Beginner Adults / Teens

THURSDAY

4.00 – 4.55pm Beginners5.00 – 5.55pm Intermediate6.00 – 6.55pm Advanced Beginners

SATURDAY

Casual Private

Emergency Contact Details:

I confirm that all details on this form are correct.

I have read and agree to Bartley Riding Academy's Terms & Conditions.

I amam not the person responsible for payment.