BPB New Student Inquiry (2023)
THIS FORM IS FOR STUDENTS AGES 5 AND UP LOOKING TO PARTICIPATE IN THE WEEKLY HORSEMANSHIP INSTRUCTIONAL PROGRAM!

If you have a lead line rider or a child eligible for pony play dates (ages 3 through 7) please complete the play date registration form. Lead line/pony play date riders can move into the regular lesson program upon approval.

Please complete this form to get started in our lesson program! Once completed and submitted, we will contact you with availability. When a space is open (we often have a wait list) you will get a new client registration form from our scheduling system along with releases for eSignature. Once those are complete, you will choose your day/time from the available schedule and get started!
Sign in to Google to save your progress. Learn more
Email *
Horsemanship lessons at The Big Purple Barn: our weekly lessons include learning to groom, tack and handle the horses and ponies as well as instructional time in the saddle in addition to learning all aspects of horse care and skills out of the saddle.
Name of Student *
Is student a child, teen or adult rider? *
Birth Date of Student *
MM
/
DD
/
YYYY
Have you done a tour or participated in another program here? If you answer NO to both, we highly recommend you take a tour and familiarize yourself with the farm. *
Does student have any prior experience? *
Does the student have any riding previous experience? If yes, please let us know about it! If not, no worries, we LOVE beginners! *
Does student prefer English or western? *
Does student have any special needs or allergies we need to know about to help them enjoy this to the fullest? Medications and medical diagnosis can be shared and will be held in confidentiality and only used to be sure student receives the best instruction we can provide or emergency care if required. If none, put NONE. *
Contact Person (parent/guardian/self) *
Relation to student *
Preferred email to receive forms *
Preferred contact number able to receive texts *
NAME OF EMERGENCY CONTACT- not the student or parent, someone who can be contacted in case of emergency to make decisions. *
EMERGENCY CONTACT PHONE: *
If there is anything else you'd like to share to help us to help us make your time here the best it can be, please let us know here: *
Thank you for your interest in joining our programs! We look forward to having you. If you don't hear from us in a week of submitting your form, please email us at thebigpurplebarnbowie@gmail.com and please remember we are a volunteer based nonprofit and our program capacities are limited. We often have a wait list, but registering this way gets you on the list!
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms