Application for Lesson Program
Heritage Oak Rescue & Rehabilitation
348 Lower Mason Creek Rd 
Bandera, TX 78003
Contact us at 830-507-3729 or heritageoakrescue@gmail.com
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Are you filling this form out for yourself or a minor that you are legal guardian of? *
Name *
Address *
Email *
Phone Number *
Date of Birth *
MM
/
DD
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Describe your horsemanship experience. This is to get a feel for your current ability, there is no wrong answer.  *
How did you learn about this program? *
Emergency Contact Information
Name, Relation, Phone Number
*
I agree to sign a liability waiver upon entering the property. *
Required
I agree to sign a photo/video release form. *
Required
I live in Bandera County. *
Required
I am willing to commit to 4 lessons, once a week for 4 weeks in a row. *
Required
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