Riding Room Group Program Registration

All fields marked with a * are required.

_________________________________________________________


Program Name: *


Credit Card Type: *
Visa
MasterCard
Amex


Card Number: *

Expiry Date: *        Validation Code: *
             What's This?

Name of Person Responsible
for Equipment (the Renter): *


Person's Name on Credit Card
(If Different than the Renter):


Address: *


City: *


Province/State: *


Postal/Zip Code: *


Country:


Phone Number: *


Drivers License Number: *


Emergency Contact: *


Emergency Phone: *


Email Address: *


Alternate Government ID if no License:


Rider's Height (ft/in): *




Programs
.
Start Date
Finish Date
Program Time
Check
Price
     Total     
Riding Room Boot Camp
Mixed*

Four Week or Eight Week


$124.99

$249.99
$
Riding Room Boot Camp
Ladies Only*

Four Week or Eight Week


$124.99

$249.99
$
Riding Room Ride to Health*
Four Week or Eight Week


$124.99

$249.99
$
*Ride with a Friend Discount:
If two or more friends register for a program at the same time, each friend will receive a 10% discount off the regular program price.
Four Week Discount  



Eight Week Discount  




Less
$12.49


Less
$24.99
-$
SUBTOTAL:
P.S.T.(8%) & G.S.T. (5%):

Click to add tax to your order:       

TOTAL:

Please be sure that you have read and agree to the Terms and Conditions

You will receive a return email invoice confirming all details.

*Ride with a Friend discount must be claimed at the time of registration. Friend's
registration forms must be submitted together to be eligible for Ride with a Friend Discount.
If claiming the Ride with a Friend Discount, please list the name of one of the friend's in
your group in the space provided.


         















Copyright © 2010 Waterfront Trail Leisure Company Inc.
T: 905-633-WTLC (9852)       Contact Us       Privacy Policy