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Home : Potomac Polo School @ Red Eagle Ranch : Application for Lessons

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Red Eagle Ranch Application for Lessons

PO Box 447

 

Poolesville, MD 20837

web site - www.redeagleranch.com  

301-972-7303

email - info@redeagleranch.com 

Lesson Applicant

Name:

 

Home Ph:

 

Occupation:

 

Work Ph:

 

Street Address:

 

Cell Ph::

 

City:

 

State:

 

Zip Code:

 

E-Mail:

 

Birthday:

 

Height:

 

Weight:

     

How did you find us?

Internet, Sidelines AD, Equiery AD, friends, other (specify)

In case of Emergency, contact:

Name:

 

Phone:

 

Doctor:

 

Allergies/Special Conditions:

 

Tell us about yourself!

Riding Experience:

 

Polo Experience:

 

My goals in riding are:

 

Hobbies, sports, interests:

 

I am interested in the following areas:

Classes or Clinics:

 

Riding for pleasure

 

Trail riding

 

Jumping Lesson

 

Foxhunting

 

Polo Lessons

 

3-Day Polo Intensives

 

Riding Intensives

 
Kids' Polo Camp  

Care and Grooming of the horse

 

Selection/care of tack & equipment

 

Veterinarian Care & First-Aid

 

Feeding & Stable management

 

Conformation/Colors/Breeds

 
Are you interested in buying a horse for pleasure, trail, show jumping, or polo?  
Are you a social member of the Potomac Polo Club (ask about our discount)?  

Please print out this form, complete the requested entries and bring it and the signed waiver (signed by a parent or legal guardian for those under the age of 18) to your first lesson.

redeagleranch.com © 2004
Red Eagle Ranch, LLC
PO Box 447
Poolesville, MD 20837
(301) 972-7303
info@redeagleranch.com