Under 18 Years of Age

Dream ItPlan It

Under 18 years of Age:

Date of Application:

First Name: ______Middle Name: ______Last Name:

Prefer to be called: ______Date of Birth: ______Age:

Home Address: ______City: ______State: ______Zip:

Cell Phone: (______) ______- ______Home Phone: (______) ______-

E_Mail address: ______

Twitter Username: @______Facebook Username:______

Do You Drive? (__) Yes (__) No.Drivers License Number: ______State:

Would you bring a Car or Truck to the Academy (__) Yes (__) No Auto Make: ______Model: ______Year:______Color:______License plate______State:______

Whom do you live with?(__) Both parents (__) Mother (__) Father (__)Other-Specify

Parent Contact info in different from above: Name:
Street Address: ______City: State: ______Zip: ______Cell Phone: (______) ______- ______

High School Attended:______City:______St:______Grad Year______Junior College Attended:______City:______St:______Grad Year______4 Yr College Attended:______City:______St:______Grad Year______

Medical Insurance

Carrier:______PolicyNumber:______Medical alerts (Allergies, Conditions etc) Past injuries that might limit ability? Emergency Contact (Primary): Name:______Number: Relationship:______

Emergency Contact (Secondary): Name: Number Relationship:

Background

Do you have own horse: Which horse/s will you be bring:

Riding Experience & Background (Disciplines, Events, Years of Riding) ______

What problems have you had with horses or your own horsemanship that you want to improve? (With me)

______

What opportunities would you like to have at the ranch? (Different Disciplines ect…)

Dates you would like to come to the ranch:

1 week: $1,000

2 weeks: $1,500

3 weeks: $3,000

Deposit for any session is $300 non-refundable deposit, due at time of application.

Circle the date you would like to come (please list three different date Month/date):

March 30-April 18: Spring Academy:

A) March 28-April 16

B) April 6-12

C) April 13-19

April 27-May 11:Spring Second Session Academy:

A)April 27-May 3

B)May 4-10

C)May 11-17

May 25-June 14: Summer Academy:

A)May 25-31

B)June 1-7

C)June 8-13

June 29-July 19: Summer Second Session Academy:

A)June 29-July 5

B)July 6-12

C)July 13-19

(If not dates fit your schedule please call or email Jenny Sherbo)

Follow Up Schedule

Once we have accepted you into our academy and we have mutually agreed upon the time frame and duration of your acadmey we will mail you a packet with the following information.

1. An official “letter of acceptance” into our program with the dates of your academy.

2. A “welcome packet” to include.

-> The “rules and regulations” of The Sliding J Ranch. –

> The “expectations” of an intern that will represent the brand Jenny Sherbo and The Sliding J Ranch.

-> The “Sliding J Way” our constitution that must be memorized before you start.

-> A “checklist of items” that you should plan to bring for your internship. -

> A sample copy of our “daily / weekly schedule”. –

We are an Alcohol free, Drug free ranch and business at all times!

Ride It Believe It