:: Equestrian Questionnaire ::

Thank You...

...for your interest in setting up lessons with Heather Erny at A Rising Star Equestrian!  

Please fill out this questionnaire to help me get a better idea of your background and goals for riding.

If you'd like to know a little more about Heather and her experience with riding, click here.

Rider Name *
Rider Name
Parent / Guardian #1
Parent / Guardian #1
(If Minor)
Parent / Guardian #2
Parent / Guardian #2
(If Minor / Applicable)
Phone *
What Disciplines Are You Experienced / Interested In? *
What Level Of Riding Are You Comfortable With? *
What Days Of The Week Are You Interested In Taking Lessons?
Check All That Apply