Individual Session/Child's session Booking form

Individual Therapy session

Please read carefully and fill out the form.
Adult Individual session or Parent/Guardian for Child Individual session

Attire: Please wear denim/long pants and closed-toe shoes.
Adult/Parent/Guardian*

First NameLast Name
Birth Date

MonthDayYear
Gender*
E-mail*
example@example.com
Mobile Number*
Language Preference:*
Child's Information (If applicable)
PLEASE TAKE NOTE FOR YOUR CHILD'S INDIVIDUAL SESSION:
- Attire: Please wear denim or long pants and closed-toe shoes.
- Weight Limit: Participants must not exceed a weight limit of 90 kg to ride.
- Evaluation: Children will be assessed while riding for one hour, after which feedback will be provided to the parents.
- Please allocate two hours for the session.
Name

First NameLast Name
Age
Gender
Language Preference:
Appointment Date & Time
Appointment*
How many Individual sessions have you already done/booked before?*

This will be my First individual sessionThis will be my Second individual sessionThis will be my Third individual sessionI have had more than three sessions before.
Indemnity:

Although every necessary precaution will be taken to prevent accidents, neither Oppistal/ Die Stal Ministry, the instructors, facilitators, employees, any agents, guestes nor other persons associated with Oppistal or the said therapists/facilitators/instructors will be held responsible for any claims regarding a person arising from an accident which may occur whilst the person is on the premises or at any outing by or behalf of Oppistal/ Die Stal Ministry, or any of the said persons. This indemnity shall in addition be deemed operative as against any third person suffering damage consequent upon such injury, damage or death.

Oppistal/ Die Stal Ministry, likes to celebrate achievements and as a result images may appear on our website, social media, newspaper articles, flyers, brochures etc. With your permission the images will be used in good taste. Please also find your photo's taken on the day on our Facebook page. Die Stal Ministry -Facebook Page
I have read and understand the indemnity & I agree and accept all T's and C's that applies.*

I agree & accept.
Individual Session/Child's Individual Session*
prevnext( X )
Individual SessionIndividual Equine Therapy Session
650.00ZAR

Total

0.00ZAR
IMPORTANT NOTICE:

CONFORMATION EMAIL WILL BE SEND TO YOUR EMAIL.
Should be Empty:

Individual Therapy session

Adult Individual session or Parent/Guardian for Child Individual session

Child's Information (If applicable)