Pony fun day Registration Form

Pony fun day Registration Form

To book for a place in the the camp, you must complete the form below accurately.
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Parent/Guardian name

First NameLast Name
Parent/Guardian Phone Number
Email Address
example@example.com
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your child have experience with horses?

Beginner (never ridden a horse)Intermediate (yes, he/she has ridden a horse)Advanced (yes, he/she has regular lessons)Fully experienced (walk/trot/canter/gallop/jump etc...)
Please provide any medical or dietary restrictions or allergies you have
Outdoor Movie night
Please note: Parents and/or Siblings are more than welcome to join us for the outdoor movie night, screening the live action "How to Train Your Dragon"

Parents/ siblings joining only the movie - R100pp

Parents/ siblings joining the movie with a gourmet popcorn/donut and hot chocolate - R150pp

You can book below:
Please note: the age restriction of this movie is PG (Parental Guidance is Advised). Are you aware of this and give consent for your child to watch this movie?

Yes I doNo, I will fetch him/her before the movie
Would your child like a donut or gourmet popcorn with their hot chocolate?
Will any parents or siblings be joining for the outdoor movie night? (Yes or No)
Would you like to order a gourmet popcorn/donut with Hot chocolate?

Yes pleaseNo thanks, we will bring our own food
Please select how many below:
prevnext( X )
Gourmet popcorn
$ Free Quantity

Donut
$ Free Quantity

Total

$0.00
Consent for photos/video to be taken of your child and full rights to use the images resulting from the photography/ filming, and any reproductions or adaptations of the images for publicity. This might include (but is not limited to), the right to use them in our printed and online publicity, social media, press releases and funding applications.
Type a question

Yes, I consentNo, I do not consent
By typing "I AGREE" in the box below I declare that I understand that the riding school will make decisions based on the information I give them and I confirm that to the best of my knowledge all the above details are correct. I understand that I must obey the instructions of the instructor at all times and must comply with the Health & Safety rules of Braveheart Equestrian riding school. I understand that riding at any standard has inherent risk and that all horses may react unpredictably on occasions. I accept full responsibility for myself (and my horse) and confirm that the pre-assessed abilities are correct. I accept that riding is a risk sport and that I could fall or be injured. I understand that I am at risk around horses and agree that I take responsibility for myself and my horse and give BERS full permission to contact Emergency services in the case of injury if I am unable to be reached, and I will cover full costs involved.
Type "I Agree"
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Pony fun day Registration Form

Outdoor Movie night