The Wild Equestrian Booking Form

Human Name

First NameLast Name

Birth Date

MonthDayYear

Address

Street Address

Street Address Line 2

CityCounty

Postcode

E-mail*

Mobile Number

Format: 00000000000.

Horse Name

Horse Age*

Clinic*

Medical Details

Emergency Contact Details*

NamePhone Number

Do you have any preferences on timeslot (eg morning/afternoon?)

Please note I cannot guarantee to meet this it is purely a request if possible!

About You

Do you have any preferences on group (eg advanced group, in hand, grouped with a specific person also attending?)

Please note I cannot guarantee to place you with a specific person but I will do my best to accommodate all requests.

Please upload proof of your third party liability insurance here (eg BHS Gold)*

I understand that riding is a risk sport and holds potential danger by nature, and that all horses may react unpredictably on occasions. I understand that I must obey the instructions of the trainer, and that it is my responsibility to wear appropriate head protection to current BHS recommended standards. I confirm that to the best of my knowledge all the above details are correct. I agree that I ride or handle my horse, and attempt any obstacles provided, entirely at my own risk*

I understand and agree

I agree

Yes pleaseNo thank you

I understand and consent to the collection of my data

Clinic Booking Form