The Merry Go Round, Inc.

Recreational Therapeutic

Equine Riding Centers

MEMBER CENTER

Student Registration Page

To enroll a student fill out the form below and click Submit

You will then be directed to the payment page to pay securely with PayPal,

or your Credit Card

Don't Forget!

A student MUST have a signed Physician's release form before they can ride! Download Registration Packet HERE. You can either mail them or fax them to us by the deadline 10 dayss before class.

See you there and Thank you!!!!

Provider OR Private Student
Agency Name (If applicable):
Agency Contact Name (If Applicable):
Agency Contact Phone (If applicable):
Student First Name:
Student Last Name:
Disability:
Height:		Height, weight, age & experience are used to* determine proper horse for rider
Weight:
D.O.B:
Email Address:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Riding Experience:
Class Code Registering For: