• Sensing Horse and Rider Booking Form Saturday the 25th & Sunday the 26th of October 

    168 Greenways Lane Merrijig VIC

    Please fill in your personal details below and select relevant options for agreement policies outlined.

    Payment details are listed at the bottom of the form.

    Please read through carefully

  • Format: 0000-000-000.
  • Format: 0000-000-000.
  • Please select any which apply to you, or detail them in the next section*
  • Horse details

    (if you are attending day two)
  • PAYMENT AND CANCELLATION POLICY

    *PLEASE READ CAREFULLY AND CLICK AGREE BELOW
  • Full payment must be made at the time of completing this form to secure your position.

    No refunds will be given for cancellations, there may be an opportunity to use the payment towards a future clinic under some circumstances, please contact me to discuss this if necessary.

  • PAYMENT AND CANCELLATION POLICY*
  • RELEASE AND HOLD HARMLESS AGREEMENT

    I hereby understand and acknowledge that the personal training, group classes, gym equipment, programs, treatments and events held by, administered, written, endorsed, discussed, and/or recommended by Jacqueline Grangien and Stephanie Bolger, may expose me to inherent and/or obvious risks and may result in serious injury and/or death. 

    I assume all risk of injuries associated with such participation with the personal training, group classes (both indoor and outdoor), treatments, and with any exercises at the clinic, including, but not limited to, falls, stretches, strains, twists, pulls, weight loss, exhaustion, problems with any of the equipment, contact with other participants, the effects of the weather, including high heat and/or humidity, loss or damage to property owned by me, and all other such risks, either known or unknown.

    I hereby acknowledge my responsibility in communicating any physical and psychological concerns that might conflict with my participation in any treatment, activity or exercises. I also acknowledge that I am physically fit and mentally capable of performing the physical activity I choose to participate in. I understand the risks involved with the exercises and treatments that Iam free to halt them at any time.

    I understand and acknowledge that working with horses has a number of inherent and/or obvious risks and may result in serious injury and/or death. An inherent and/or obvious risk may include, but is not limited to:

    (a)    the tendency of a horse to behave in ways that may result in injury or death to persons on or around the horse;

    (b)    the unpredictability of a horse’s reaction to sounds, sudden movement, unfamiliar objects, persons or other animals;

    (c)     hazards including but not limited to surface or subsurface conditions;

    (d)    a collision with another horse, another animal, a person or an object; and

    (e)    the potential of a handler to act in a negligent manner that may contribute to injury or death to the handler or other persons including but not limited to failing to maintain control over a horse or failing to act within the ability of the handler.

    I further understand and acknowledge that:

    (a)    I will be working in a group and that I will at all times be responsible for my own safety and actions, and those of my horse or any horse I am working on.

    (b)     Any recommendations made at the clinic are the opinions of those presenting the clinic and are not intended to replace veterinary advice


    (c)    If at any time the instructor/s feel that the actions of my horse may cause a safety risk to those around me that I will be asked to leave the clinic immediately or just partake as an observer

    (d)    Consumption of alcohol or mind altering drugs is dangerous before the clinic and I take full responsibility for any injury, loss or damage associated with their consumption. I agree not to drink alcohol or take drugs prohibited by law during the clinic.

    (e)      I am to immediately report to the instructor of any injury to myself or my horse and the manner of the occurrence of the injury.

    (f)    I agree to follow the directions of "the releasee" and that any misconduct or refusal by me to follow any direction of the releasee can result in the cancellation of the participation in this clinic. I understand that any such non compliance may result in injury, death and/or permanent disability and I agree to indemnify "the releasees" of all claims made by any person as the result of my failure to comply.

    On 25th & 26th of October on the private property of the Scheibers', 160 Flat Rock Road, Kangaroo Ground  I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby indemnify and agree to hold harmless Stephanie Bolger and Jacqueline Grangien (“the Releasee”) and release them from any liability or responsibility for accident, damage, injury or illness, including the provision of or participation in rescue and/or first aid procedures, to myself, any horse owned by me or in my care or to any family member or spectator accompanying me whilst participating in the clinic and subsequent  handling of any horse at any time after the clinic.  

    I warrant that I:


    (a)    Have read and understood this document and the rights that I am giving up by signing it;

    (b)    Have signed this document freely and voluntarily without any inducement or coercion by the Releasee;

    and

    (c)     Acknowledge the Releasee is relying on the representations made by me in this document.

  • RELEASE AND HOLD HARMLESS AGREEMENT*
  • What to bring

    Day 1

    The most important thing being an appropriately sized gym ball. This is best purchased from a fitness store rather than a cheap one from Kmart which will not be firm enough and will stretch over time. If you are unable to get one before the day or are unsure on size, we will have some available for purchase on the day for $55.
    To work out the correct size ball, if you are between:

    135-154cm in height you will need a 45cm diameter ball,
    155-169cm in height you will need a 55cm diameter ball
    170-184cm in height you will need a 65cm diameter ball.

    If you are unsure feel free to contact me. Also, if you cannot fit the ball blown up in your car you can bring it deflated as we will have pumps.

    • Comfortable clothes for exercises, such as leggings
    • Yoga mat 
    • Pen and paper 
    • Small bath towel (for neck support during supine exercises)
    • Lunch (kitchnete available)
    • Water 

    Day 2 

    • You and your horses usual riding gear 
    • Helmet 
    • Riding shoes 
    • Long lead rope if working inhand 
    • Sunprotection 
    • Water
    • Lunch

    PAYMENT DETAILS - Please pay in full by 17th of October

    Two days $545

    Day one only $410

    Price includes facilty hire, life time access to our exercise video library (Value $90). Digital PDF of all the information covered in the clinic (Value $60).


    Bank transfer details:


    Account name: Stephanie Bolger 
    Account no. 185 589 165

    BSB: 633 123


    Please put Clinic(your name) as reference 


    Receipt will be sent via email 

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