Returning Riders Register Below

Please complete this full form to register for the upcoming semester. Spring riding session begins January 19th and ends on May 18th. There will be no lessons March 4th-5th and the week of Spring Break April 22nd-26th.

Name *

Name

First Name

Last Name

Date of Birth *

Date of Birth

MM

DD

YYYY

Phone *

Address *

Email Address *

Availablility *

Please list all available times Monday - Saturday. Wednesday lessons will be held in Port Allen.

Primary and/or secondary disability *

Classes *

Please select desired services.

Spring 2019 Adaptive Sports Riding Private Lesson $800.00

Spring 2019 Adaptive Sports Riding Group Lesson $720.00

Horsemanship Lesson $640.00

Financial Aid *

Are you a part of our scholarship program?

Yes

No

Remaining lesson fees *

In the event that GaitWay has to cancel more than two classes during a session due to inclement weather, please check one of the following for your remaining fees.

Credit towards the following session

Donate the amount to the Rider Financial Assistance Fund

Receive a refund of donation

Please note: *

Classes that students miss for reasons other than weather or illness will not be credited nor refunded. Leftover financial assistance will automatically be credited back to the Reder Financial Assistance Fund.

I understand and agree to these terms

Signature *

Your name in this box signifies that you have agreed to the fees associated with the service that you have chosen