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

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 have read and agree to the terms and conditions available at: www.thewildequestrian.co.uk/Booking-Terms-and-Conditions/*

I agree

The Wild Equestrian will use the contact details given above to contact you about the clinic(s) booked regarding payments, times, important information and/or cancellation. Would you also like to receive occasional emails about other news and events that may be of interest to you?*

Yes pleaseNo thank you

This form will be stored securely and in confidence by The Wild Equestrian in accordance with the published privacy policy available on www.thewildequestrian.co.uk. Information from this form may be made available to medical personnel / insurers / other parties, in the event of any injury or incident. Your personal data will never be sold or given to other third parties.*

I understand and consent to the collection of my data

Clinic Booking Form