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This is a quotation request
This is a registration form

_____________________________________________________________________

Tell us what you are looking for:

Relaxing Experience to Unwind Extreme Experience for a Rejuvinating Getaway

Date Seeking (Month/Day/Year):

RED ROCK EXPERIENCES AND SPECIALTIES
Relaxing Extreme Something in between Both
Note: Riders must arrive at least 15 minutes prior to departure times

Hourly Rides - 1 Hour 2 Hour 3 Hour
Best time for you: 9:00 AM
12:00 PM 3:00 PM 6:00 PM
Number of People Riding:
Red Rock Mountain Ride (4 Hours)
Best time for you: 9:00 AM 12:00 PM 3:00 PM 6:00 PM
Number of People Riding:

Saloon Run - 2 Hour 3 Hour
Best time for you:
9:00 AM 12:00 PM 3:00 PM 6:00 PM

Number of People Riding:
Full Day Ride (Lunch Stop)
Number of People Riding:
Wine 'n Cheese Mystery Evening
Number of People Riding:
Poker Ride Dinner and Dance (Info below for next scheduled ride)

ANNUAL EVENTS
4th Annual Western Weekend

Bringing your own horse - Tickets required:
Horse Rental- Tickets required:
Poker Hand- Tickets required:
Cowboy Cookout - Tickets required:
Country Kickin' Dance- Tickets required:

CLINICS AND INSTRUCTION
Horseback Preconditioning or our Natural Western Horsemanship
Roping - Beginners May 19/20 - Fri-Sat - Tickets Req: People Riding:
Other Requested:

CUSTOM PACKAGES - Specially customized to fit the individual or group.
Choose from the riding options/events above to give us an idea of what you are looking for and we will contact you to make sure we find a package that is precisely what you are looking for.
What is your occasion?
Birthday Wedding Anniversary Dinner Bus Tour Ladies Night Men's Night
Need an Adventure No Reason Other

ADD ONS
If you don't see what you need, just ask.
Lunch Dinner
Kidz Country Babysitting includes crafts, games, reading time, outdoor play, and more
Number of Kids: Ages: Allergies:
Jet Boating - Bridge Adventure (1 Hour) Senic Adventure (2 Hour) White Water (1 Hour)
Recommend Accomodation
Hotel Motel Bed and Breakfast Camping

PAYMENT
Cash, Interac, Visa, Mastercard, and Personal Cheques are accepted as deposits, but not for final payment. Bill payments must be processed in advance of your trip.

OPTIONAL INFO
I would like to be included on the Red Rock Mailing List
I would like to be informed of upcoming Red Rock Ranch Events

How did you find out about our ranch?:
General Comments:

CONTACT INFORMATION

Full Name:
Address:
City:
Postal / Zip:
Prov / State:
Country:
Home Tel:
Work Tel:
Cell Tel:
Fax Tel:
eMail Address:

RIDER INFORMATION

IMPORTANT!
If registering, this section must be completed for all riders participating.

RIDER 1 - Horseback Riding Information

Full Name: Height: Weight:
How many times have you ridden in the past 3 years?
How many times have you ridden prior to that?
Medical Plan Name: Plan Number:
Medical History or current conditions we should know of:
Emergency Contact Name: Emergency Contact Tel:

RIDER 2 - Horseback Riding Information

Full Name: Height: Weight:
How many times have you ridden in the past 3 years?
How many times have you ridden prior to that?
Medical Plan Name: Plan Number:
Medical History or current conditions we should know of:
Emergency Contact Name: Emergency Contact Tel:

RIDER 3 - Horseback Riding Information

Full Name: Height: Weight:
How many times have you ridden in the past 3 years?
How many times have you ridden prior to that?
Medical Plan Name: Plan Number:
Medical History or current conditions we should know of:
Emergency Contact Name: Emergency Contact Tel:

RIDER 4- Horseback Riding Information

Full Name: Height: Weight:
How many times have you ridden in the past 3 years?
How many times have you ridden prior to that?
Medical Plan Name: Plan Number:
Medical History or current conditions we should know of:
Emergency Contact Name: Emergency Contact Tel:

RIDER 5 - Horseback Riding Information

Full Name: Height: Weight:
How many times have you ridden in the past 3 years?
How many times have you ridden prior to that?
Medical Plan Name: Plan Number:
Medical History or current conditions we should know of:
Emergency Contact Name: Emergency Contact Tel: