Parent/Guardian First Name

  Parent/Guardian Last Name

   Email Address * Required for contact

   Mailing Address

   City/State/ZIP

   Area Code/Phone Number * Required for contact

   Child's First Name

   Child's Last Name

   Child's Age

   Emergency Contact

   Emergency Phone Number

   School District

   School Name

   School Dismissal Time

List any special needs, allergies, medications, or special considerations

   Promotional Code (if applicable)

1-Day Week --$200 per month Drop-in--$60 per session  

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Email from NWNHC Email from a freind Word of mouth Poster/Flyer School announcement Link from another website Web search Yahoo interest group SnoValley Star Sammamish Review Issaquah Press Article or news story Other    Where'd you hear about the program?

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$100 deposit required to reserve a spot. (credited toward first month)

Call with credit card number or send check made out to NWNHC

NW Natural Horsemanship Center

PO Box 884

Fall City, WA 98024

425-222-7911