Darren Simpson Clinic MAY 2025

Name

First NameLast Name

E-mail

example@example.com

Contact Number

All members must be a member of QRHA or RA.*

YesNo

Please select your preferred session time and we will do our best to accommodate you:

Session 1: 8am - 10amSession 2: 10am- 12pm

Rider Experience*

Beginner RiderAccomplished Rider but New to ShowingExperienced Rider/ShowOther- Please enter

Horse Experience*

Green or Young HorseNew to ShowingExperienced Show HorseOther- Please enter

Please provide any other relevant details for the information of the Clinician.

Terms & Conditions

Clinic starts 8am with the first group of 5 riders. There will be two x 2 hour sessions - 8am - 10am and 10am - 12 noon. Min. 10 riders.

Cost is $100 per rider for 2 hours clinician time. Please pay at time of booking.

A 50% non-refundable booking fee is applicable for clinics unless vet certificate provided or replacement rider is found. No refunds for cancellations within 48 hours of Clinic unless a replacement rider is found.

For insurance purposes, all riders must be members of the QRHA or RA.

Payment is by Direct Debit. QRHA Bank Details BSB 064 167 Account No 00 902 004 (Name/DS Clinic as reference).