Summer Day Program Prices:

Full Days: $250.00 ( 5 full days with 2 hours/day riding; drinks and hot lunches included)

Half Days: $150.00 ( 5 half days with 1 hour/day riding; drinks included)


Mar-a-thon Stable

Summer Program Registration Form 2019

Please PRINT

Rider's Name:_____________________________________________________________       Age:________

Address:______________________________________________________________________________     City:_______________________    Prov. _____________

Postal Code:_______________

Home Phone:______________________________________   Work/Cell Phone:__________________________________


Pertinent Health Information (Confidential):____________________________________________________________________________________________________



Emergency Contact Name  & Number: ______________________________________________________________________________________________________

Health Card # ( Confidential): ________________________________________________________


LIABILITY RELEASE for horseback riding and any other activity in which engaged at Mar-a-thon Stable, or while under the supervision of Mar-a-thon personnel for the calendar year of 2019 for the above participant:

I understand the inherent risks involved in being in close proximity to horses, and do not hold any member of the staff, management or ownership of Mar-a-thon responsible in any manner for injury, fatality, or loss of or damage to property.  I understand that all participants, and their family and friends, enter the property at their own risk.

Signature( Rider, Parent/Guardian if under 18 years):____________________________________________________  Date:_______________________________

Photography: Photographs may be taken of participants during the course of the program.  With consent, these may be used for advertising purposes in print or on the Mar-a-thon website.  These pictures may also be made available to the participant's family.  Participants pictured will not be identified;  Mar-a-thon will not sell, distribute, or use these pictures for any other purpose than that indicated.

_____ I consent to pictures being taken and used as described.                               _____ I do NOT consent to pictures being taken and used as described.

Signature( Rider, Parent/Guardian if under 18 years):____________________________________________________  Date:_______________________________


Session Weeks  -  Please indicate FIRST and SECOND choice.

Full Days: 9:00 am - 3:30 pm                                      Half Day Mornings: 9:00 am - 12:00 pm                         OR                       Half Day Afternoons 1:00 pm - 4:00pm
_____ Session 1: Monday, June 24th  - Friday, June 28th ( inclusive)
_____ Session 2: Monday, July 1st - Friday, July 5th
_____ Session 3: Monday, July 8th - Friday, July 12th
_____ Session 4: Monday, July 15th - Friday, July 19th
_____ Session 5: Monday, July 22rd - Friday, July 26th
_____ Session 6: Monday, July 29th - Friday, August 2nd
_____ Session 7: Monday, August 5th - Friday, August 9th 
_____ Session 8: Monday, August 12th - Friday, August 16th
_____ Session 9: Monday, August 19th - Friday, August 23rd
_____ Session 10: Monday August 26th - Friday,August 30th

Please,  indicate Type of Program:             _____ Full Day                               _____Half Day Mornings                           _____Half Day Afternoons

Payment Options        ( Please indicate  payment option preference.)

Full Day - $250.00 ( 5 full days with lunches & drinks included)                             Half Day - $150.00 (5 half days with drinks included)
10% DISCOUNT for bookings secured with a $50.00 non-refundable deposit by May 15th/19

_____  Cash ( due start of program)
_____  Cheque ( due start of program)   Cheques made out to MARY LEVERSEDGE.
_____  Internet money transfer ( details to be provided; due the Friday before the start of the program)

Session bookings are secured with the receipt of a $50.00 ( per rider) non-refundable deposit.

Riding Experience: if a new student, please indicate which BEST describes the rider's experience level.

_____ Novice child ( 6-8 yrs) - little/no experience          _____ Novice child ( 6-8 yrs) - 1-2 yrs of riding           _____ Novice child ( 9+ yrs) - little/no experience
_____ Child ( 9+ yrs) - 1-2 yrs of riding                                  _____ Child ( 9+ yrs) - 2+ yrs of riding                            _____ Novice teen - little/no experience
_____ Teen - with 1-2 yrs of riding                                         _____ Teen - with 2+ yrs of riding                                   _____ Novice adult - little/no experience
_____ Adult - with 1-2 yrs of riding                                        _____ Adult - with 2+ yrs of riding

Definition:  1 year of riding means at least 6 months of regular, weekly riding with instruction/knowledgeable supervision.
Please  print out, and return as soon as possible ( by mail, email or FAX) to enable us to accommodate your session preferences, especially for July bookings.
FAX number: 613-476-7039