| BLAZING SADDLES, LLC PO BOX 126 TEN SLEEP, WY 82442 307-366-2692 REGISTRATION FORM Rider’s Name:____________________________________________________________________________age:_______weight:________ Address:________________________________________________________________________________________________________ City:__________________________________________________State:____________________Zip:___________________________ Phone: ( ) _____________________Fax: ( ) ____________________E-Mail:_________________________________ Ride date(s): ___________________________________________________________________________________ Riding Experience How long have you been riding? [_] More than 10 years [_] 2-10 years [_] Less than 2 years [_] Just learning How often do you ride now? [_] Daily [_] Weekly [_]Monthly [_]A few times a year What type of riding do you do? [_] Mainly in arena [_] Hacking [_] Fast riding over variable ground Do you care for or own a horse? [_] Yes [_] No [_] Used to own a horse Please add any other relevant information which would help us ensure that your riding experience meets the requirements of this ride. ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… Physical limitations or disabilities? (circle one) YES If yes, please explain below. NO Explain: ____________________________________________________________________________________________________ Dietary Considerations? ________________________________________________________________________________________ Accommodations: First and last nights you will stay in local cabins or motels. On the trail, accommodations are in spacious cowboy-teepees; two to a tent unless requested. At the stationary camp, Sheepherder’s Wagons available, sleeps one or a couple. If you wish to have a single tent, for an additional $50, check here_______________ Sleeping Bag Rental: Add $20 (please circle if needed) YES NO Deposit: A non-refundable deposit of half the ride price is required with this form to guarantee your ride. Full payment is due on arrival. Please include a check or money order. Flight Arrival (time & date):________________________Flight #:________/ ____Worland or ____Cody (add $100 for transportation) Flight Departure (time & date):______________________Other airport or travel plans: _______________________________________ In case of emergency, please contact: ________________________________________________________________________________ Phone: ( ) ______________________________________Relationship:_____________________________________________ Total Price of Ride: _____________ Method of Payment: (circle please) Personal Check Money Order VISA or MasterCard Amount Paid: _____________ Amount Due: _____________ #___________________________________________________________Exp. __________ Signature: _______________________________________________________________Today’s Date: __________________________ THANK YOU! |
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