Registration

It is the policy of Ace High Roughstock Academy to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

If you have any questions, concerns, or difficulties, please email us at acehighroughstockacad@gmail.com. Thank you for completing this registration form and for your interest in riding with us.

Name *
Name
Address *
Address
Phone *
Phone
How did you hear about us?
Please select the discipline(s) you already know, or would like to learn.
Experience *
How would you describe your level of experience?
Permit *
Do you have a PRCA Permit?
Please select which school(s) you would like to register for.
Emergency Contact Name *
Emergency Contact Name
Person to notify in case of emergency
Emergency Contact Address *
Emergency Contact Address
Emergency Contact Phone *
Emergency Contact Phone
This information is used in case of an emergency.
This information is used in case of an emergency.
Agreement of Application *
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a rider, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.