Equestrian Camps SJ Camp booking form - 13th

Equestrian Camps

Only Payment of your deposit and completion of this form will hold your camp place. Without one of the other your place may be offered to someone else and a refund will not be available to you.
Please select the camp you wish to attend (further details on 'Events' page): *

13th - 15th November adults showjumping camp @ Chyverton
Your details
Name *

First Name Last Name
Email *
example@example.com
Phone number *
Phone
Address *

Street Address

Street Address Line 2

City County

Postcode Country
Contact in case of emergency *
Name & number
Nominated responsible adult if under 18
Name & number
Medical conditions or allergies *
Please include details or type 'none'
Please tick any that apply: *

Vegetarian Vegan Lactose free Gluten free No dietary requirements
Further information - please include as much about you and your horse as possible: *
Please include further information
Horse details
Name *
Name of horse
Age *
Age of horse
Height *
Height of horse
Please confirm the level you wish to ride at: *

Polework & Jumping up to 2ft (60cm) Jumping up to 2ft6 (75cm) Jumping 2ft9 + (85cm and over)
Further information
I confirm I have read both the Terms & Conditions and Camp Code (found on the 'Events' page) *

Yes
I give permission for my email address to be used to contact me with any information which relates to camps and promotions with Equestrian Camps South West *

Yes
I give permission for photographs and videos to be taken at camp and shared on social media or used for promotion of future camps and events *

Yes No
Confirmation

By acknowledging below I confirm that I wish to book a place at camp and understand that it is not secured until this form has been completed and payment has been made via BACS .

Cost

Total: £195

Deposit: £100 - payable today

Final payment: £95

Please use camp code WSSJN1315

Bank Details Sort code 089250 Account Number 68178110
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