"Finding Your Way"
Spring Camp, 14th - 16th May 2024
Name:
First Name
Last Name
Date of birth DD/MM/YYYY
Email:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
Emergency Contact Details (Name, Telephone Number & Relationship):
Doctors Name and Contact Number:
Please detail any disability or medical condition that may affect your ability to ride or which your instructor should be aware of in case of emergency:
Additional person to the rider staying on site (this includes the use of the showers, toilets & drinks):
Additional person one £25pp
Additional person two £25pp
Food package for additional person staying on site (food is included for all camp participants):
Food package for 1st additional person £55
Food package for 2nd additional person £55
Please inform us of any dietary requirements and food allergies for all attendees:
Horse's Name:
Horse's Age:
Horse and rider level of training (flatwork, competing & comfortable height of jumping):
Horse has received a booster annual vaccination within 12 months and not within 7 days of arrival. (Please bring passport with you):
Vaccinations up to date
Hook up - £25 per night
14/05/24 £25
15/05/24 £25
Stabling: (2 x shavings or equivalent included - Hay / Haylage not included but available at additional cost)
Tuesday 14th May
Wednesday 15th May
Approximate arrival time (Between 2-5pm. Dinner served 6.30/7pm):
Any other relevant information
Disclaimer: I can confirm that the information I have provided is correct to the best of my knowledge. I understand that riding at any standard has inherent risk and agree that both the coaches and the venue will not be liable for injury or damage to property unless it is caused by their negligence. Where I am signing on behalf of a minor (under the age of 18 years old) we both accept the risk and agree that both the coaches and the venue will not be liable for injury or damage to property unless it is caused by their negligence. Data Protection Act 1998: Statement: I understand that the information that I have given will be held in accordance with the Data Protection Act 1998, and in accordance to GDPR data protection regulations, but may also be made available to insurers and other concerned parties in the event of an injury or accident.
By ticking this box I agree to the above Statements / Disclaimer
Full Name (Rider)
First Name
Last Name
Full Name (Parent or guardian when signing on behalf of a minor)
First Name
Last Name
Date of signature
-
Month
-
Day
Year
Date
Tick this box to represent your signature:
Signature
Payment: In order to secure your place on the camp a £175 NON REFUNDABLE DEPOSIT must be paid with this booking, remaining balance of £160 to be made by 30th April 2024 including any additional people and food packages. BACS: Miss S York Sort code: 60-83-71 Account Number: 15068866 Ref: Surname-FYWcamp (Please note this is a different account to Sam York’s normal coaching payment account).
Deposit paid
Submit
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