Where kids ride high in the saddle

890 Peekskill Hollow Road
Putnam Valley, NY 10579
845-526-8357

Registration Form


Registration Form for Hollow Brook Program

Name of Program ________________________________

Child Name _____________________________________
Address         ____________________________________
                      ____________________________________
Home phone _________________ Cell _______________
Emergency contact _______________________________
Age of child _________ Riding Experience ____________
Allergies ________________________________________

Session Dates ____________________________________

Parent signature __________________________________


Hollow Brook Riding Academy
890 Peekskill Hollow Road
Putnam Valley, NY 10579

For more information or any questions contact Eric or Lorraine
845-526-8357
*No Refunds*