Straylight Digital Inc.

Rider Name * First Last
AEF Number (optional)

Alberta Equestrian Federation membership number.
Age Group *
Child (Under 18) Adult (18 and over)
Child Rider Age *
Enter a number between 1 and 17.
Parent Name *

Full name of Parent of Child Rider.
Contact Information

How do we get hold of you?
Email *

Email address where we can send confirmation.
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Mailing address.
Phone Number * ### - ### - ####
Phone number where we can contact you.
Lesson Package

Choose the session and the day/time when you would like to ride.
Session *
Fall package (Starts Sept. 17, 2012) Winter package (Starts Jan. 7, 2013) Spring package (Starts Mar. 25, 2013)

Choose which session you would like to attend.
Lesson Package *
Beginner ($450) Novice ($525) Intermediate ($600)

Choose lesson package level. See descriptions on Lesson page.
Beginner Lesson Days *
Friday Saturday

Choose the day of the week you would like your lesson
Novice Lesson Days *
Monday Friday Saturday

Choose the day of the week you would like your lesson
Intermediate Lesson Days *
Monday Wednesday Friday

Choose the day of the week you would like your lesson
Additional Information

Please provide any additional information you would like us to have.
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