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Equestrian Center Forms

Equestrian Gym Class Registration

Please complete the form below to register for one or more Equestrian Gym Class Session. Please fill out a separate form for each child. Fields marked with a "*" denote a required response.

A Health History Form and Riding Release are needed for each student.  You can print and complete the forms below.  Copies are also available at the Equestrian Center.


Parent/Guardian/Primary Contact Information

First Name
Last Name
Country
Address Line 1
Address Line 2
City
State
Postal Code
Please provide the phone number where we can best reach you in the event of class cancellation.

Student Information

First Name
Last Name

Spring 2019 Equestrian Gym Class Session Selection

Equestrian Gym Class Sessions are not scheduled in June, July, or August to accommodate our great Summer Camp Programs (like Horse Camp!).  You can learn more at lutherlyn.com/summercamp.

April Session - $150
Please check all sessions for which you are available. We will then assign you to a session and notify you.
May Session - $150

2019's fall session schedule is yet to be determined.

Payment Information

$
Please use only numeric values in this field (for example, if you attempt to include "$" your transaction will not be processed).
Credit Card Information
Visa MasterCard Discover

Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your transaction will be processed securely.  By submitting this form, you agree to the card being charged at the time of form submission, and to the terms and policies listed above.  You will receive an automatic email confirmation.  All registrations are reviewed by a member of Lutherlyn’s staff who may contact you, in the event of an error or omission, using the contact information you have provided. 

If you have any questions please contact the office at 724-865-2161 or email@lutherlyn.com.

Your total payment will be
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