Application Form

Full Name of Student

Postal Address

Age - Must be at least 9 years old

Contact Details: (Parent or Guardian / Bill Payer)

Name

Home Phone Number

Email Address

Mobile Phone Number
Please leave this field empty.

Level of Experience (please tick)

Please specify details of above experience e.g. where, what and when:

Students level of confidence:

Level of fitness:

Are you under 100kgs?

To help you achieve your goals learning to ride. Please give us a brief outline on what you
would like to achieve here at the Bartley Riding Academy?

Lesson Type (please tick all options)

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.

TUESDAY

WEDNESDAY
Daytime lessons from 11am – Private and Group times on application.

THURSDAY

SATURDAY

We run a range of levels of lessons on Saturdays, When we receive your experience level, and lesson times choice, we will sort pupils into suitable level of lesson to suit your requirements.

Do you have any medical conditions or disabilities? (please provide details if yes)

How did you hear about the Bartley Riding Academy?

Emergency Contact Details:

Emergency Contact Name

Emergency Contact Phone Number

Disclaimer

*The Disclaimer form has to be completed before pupils attend lessons.

*Completion of this form doesn't necessarily secure your place in the riding school, but we will endeavour to do our best to fit the pupil into suitable level and lesson time slot.

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.