Riding for the disabledRDA Squadrons Waiting List Form

Please complete the form below if you wish to join the Waiting List for the RDA Squadrons, for children and adults with special needs. When spaces become available, the office will contact the next person on the waiting list. It is important that you keep us up-to-date with any changes of address/contact details so that we can contact you when your name gets to the top of the list.

NB: If your child does not have special needs, or would cope well in a mainstream group, please complete the Mainstream Waiting List Application Form instead. If you are unsure which programme would be best, please call the office to discuss.

RDA application form - Please complete all fields

Applicant details

First Name

Surname

 Male
 Female

Date of Birth

Weight (Please note that our weight limit for riding is 10 stone / 63 kilograms)

Height

Please add me to the waiting list for:
 Daytime, weekday sessions - all ages & abilities
 Wednesday evening sessions - ages 7 to 12
 Both groups and I will decide which is best when my name reaches the top of the waiting list

Details of special needs, especially levels of communication and understanding. Please also let us know what benefits you hope to achieve and any other information that you think would be useful.

Details of parent / guardian / carer (if applicable)

 Parent
 Carer
 Guardian

Title (Mrs., Mr., Miss., etc.)

First Name

Surname

Contact Details

The contact details are for:
 Applicant
 Parent, carer or guardian named above

Address (including post code)

E-mail

Telephone Number

Mobile Number