Scenic Equestrian

1

Riders Name

First Name

Last Name

2

Riders Date Of Birth

Date

3

Parent / Caregiver Name

First Name

Last Name

4

Parent / Caregiver Phone Number

Area Code

Phone Number

5

Riding Experience

Never ridden

Happy to be lead

Can ride off lead and walk/trot

Can canter and Jump

6

Medical Details or other needs your child requires catering for

8

PAYMENT

Fees per day 9am am to 3.30pm $100

Morning 9am to 1pm $60

Afternoon 1pm to 3.30pm $60

Payment is required prior to drop off. Bank Account details are : Scenic Equestrian

BNZ 02-0630-0426567-005

Please use Riders full name as reference.

9

I agree and accept to the Terms and Conditions

YESNO