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Northwind Riding Academy Sliding Scale Application

Birthday for responsible party
Month
Day
Year
Multi-line address
Program Applying for
Do you currently receive financial assistance (e.g., SNAP, WIC, unemployment, etc.)?
Requested tear level (Optional)

I certify that the information I have provided is true and accurate to the best of my knowledge. I understand that NorthWind Riding Academy may verify this information. The agreement will be reviewed annually or with a significant change of circumstances.

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