Returning Riders Register Below

Please complete this full form to register for the upcoming semester. Summer riding session begins June 10th and ends on July 13th. Registration deadline is May 31st. Therapeutic Camp will be held July 22nd-July 26th. Horsemanship Camp will be held July 29th-August 2nd.

Name *

Name

First Name

Last Name

Date of Birth *

Date of Birth

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.

Summer 2019 Adaptive Sports Riding Private Lesson $250.00

Summer 2019 Adaptive Sports Riding Group Lesson $225.00

Summer 2019 Horsemanship Lesson $200.00

Therapeutic Summer Camp 2019 $300.00

Horsemanship Summer Camp 2019 $250.00

Fall 2019 Adaptive Sports Riding Private Lesson $700.00

Fall 2019 Adaptive Sports Riding Group Lesson $630.00

Fall 2019 Horsemanship lesson $560.00

Financial Aid *

Are you a part of our scholarship program?

Yes

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

Thank you!

Email Address

We respect your privacy.

Thank you!

1300 Lawrence Parkway | St. Gabriel, Louisiana 70776 | 225-319-7344 | info@gaitway.org