Pony Pals Enrollment | Valley Ridge Farm

Cost: $250.00 for a 4-week session

Please Select the dates and times that you wish to enroll:*

The following sessions are full:
June 3, 10, 17, 24 - 5:00pm- 6:00pm
June 3, 10, 17, 24 - 6:30pm -7:30pm

Child Name:*

Age:

Address:*

Street Address Address Line 2 City State ZIP Code

Email:*

Accident/Medical Insurance #:*

Parent/Guardian Name:*

Home Phone:*

Work Phone:

Parent/Guardian Name:

Home Phone:

Work Phone:

In Emergency, Contact:*

Emergency Contact Phone:*

In case of an emergency, we will use the WVU hospital unless otherwise specified here.

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