Dressage, Livery & Training in Somerset
Please complete this form and let us know which course you would like to attend. These courses fill up very quickly, so early booking is highly recommended.
WHICH COURSE WOULD YOU LIKE TO APPLY FOR?
June 15 - 16, 2018July 20 - 22, 2018August 25 - 26, 2018September 28 - 30, 2018October 12 - 14, 2018December 21 - 23. 2018
First name (required)
Last name (required)
Date of birth (required)
ADDRESS AND CONTACT DETAILS
House/Flat no. (required)
Address Line 1 (required)
Address Line 2
Address Line 3
Town / City (required)
Post Code (required)
Email address (required)
Mobile number (required)
HEALTH & SAFETY
Do you have a medical condition(s) or a disability which may require special facilities or support?
If so, please provide details, including a list of any medication you are taking:
CONTACTS IN CASE OF EMERGENCY
Full name (required)
Contact's number (required)
Your horse's name:
Horse type: MareGeldingStallion
Any medical conditions:
Goals for your horse in next 6-8 months:
What is holding you back in your own / your horse's training?:
Reasons: ---Rider Lack of KnowledgeHorse physical limitationsHorse is too greenRiders physical limitationsOther
If you have chosen 'Other', please explain further:
Where will you be staying whilst on the course?:
If you are staying in a lorry on site will you need hook up? (extra £15 – 3 days) (extra £10 – 2 days): YesNo
What bedding wil your horse require?: Shavings (£5 per bag)Straw (free)
The total cost of the course is shown on our site. This includes all meals, lessons, stabling and rider assessment. If you would like your horse treated by Katherine Allard, this is an extra £40 and to be arranged with her whilst on the course.
Please pay £100 deposit as soon as possible. This is non-refundable unless space is filled.
How will you be paying?: ---CashChequeBank transfer
Cheques: Please make out to Collective Equestrian Limited
Please note the full amount (£250 for 3 day courses) (£200 for 2 day courses) must be paid no less than two weeks prior to the start of the course.
Collective Equestrian Limited
Sort code: 30-96-26
Account number: 24188868
I confirm that the information provided on the form is both truthful and accurate. I have not omitted any information that could affect my acceptance on a Short Course.
If you prefer, you can download and complete this form and return it to us by post.