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Celebrate Valentine’s Day with a ride on a pony! Meet animals like our wallaby, baby pig, baby mini horses, cows, and take a photo with a baby mini horse! After meeting the animals head over to our heated indoor riding arena for pony rides on a Valentine’s pony!
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
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Type
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Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
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ID
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Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
*
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
*
Allergies :
*
Medications:
Permission to Photograph :
*
:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
*
Allergies :
*
Medications:
Permission to Photograph :
*
:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
*
Allergies :
*
Medications:
Permission to Photograph :
*
:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
*
Allergies :
*
Medications:
Permission to Photograph :
*
:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
*
Allergies :
*
Medications:
Permission to Photograph :
*
:
Questions/Options:
Name(s) and Age(s)
*
How did you hear about us?
Questions / Additional Information
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
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Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
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Exp Year:
*
2026
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Address Line 1:
Address Line 2:
City:
State:
AK
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AR
AZ
CA
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CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
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