LESSON REGISTRATION
Lesson Packages
(30" private, 45" semi-private, and 60" group lessons are the same price):
Fill out one (1) registration form per student and 
click below for the type of lesson(s) preferred:
You may call us with credit card information or 
you can mail payment along with printed and completed registration to:

Heron Mead Equestrian Center
15 School Lane
Robesonia, PA 19551
610.223.1079
Copyright © 2019
All rights reserved.

 Heron Mead Equestrian Center
at Heron Mead Farm, Inc.

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HERON MEAD EQUESTRIAN CENTER

15 School Lane
Robesonia, PA 19551
610.223.1079

www.heronmeadec.com
heronmeadfarm@icloud.com
Student Name:
Riding Experience:
Weight:
Height:
Date of Birth:
Parent or Legal Guardian:
Address:
Does student/camper have any physical or mental conditions which may affect his/her safety and ability to ride a horse?
Cell Phone:
Home Phone:
If yes, please list condition(s) and how we may help?
Email Address:
"Once a Week" Lesson Packages (6 lessons in 6 weeks):
Tiny Tots "Pony Academy" (3 lessons in 6 weeks, every other week, ages 3-8 yrs.):
"Twice a Week" Lesson Packages (12 lessons in 6 weeks):
YesNo