POLES CLUB CLINIC

Elmore 3PE Club presents Pole Club Clinics with Kylie Calderwood

Saturday 1st & Sunday 2nd August 2026 Elmore Equestrian Park
Group lessons of 3

E3PE Members - $60pp each day

HRCAV Members - $70pp each day

NON HRCAV - $70pp each day + $30 Day Membership Fee
RIDER NAME

First NameLast Name
PARENT/GUARDIAN NAME (If rider is under 18ys)

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Phone Number
Format: (000) 000-0000.
HRCAV MEMBERSHIP #
Should you not be a HRCAV Member please type NA
HRCAV CLUB NAME
Should you not be a HRCAV Member please type NA
EA/PCAV MEMBERSHIP #
EA/PCAV/OTHER MEMBERSHIP #
Please type your membership number
HORSES NAME
HORSE & RIDER DETAILS Tick as many as you like if applicable
RIDER & HORSE COMBINATION MORE DETAILS
Please type as much information and detail. What you wish to achieve or work on from your lesson. What you feel comfortable with, what you do not feel comfortable with. The more information we have, we can make sure your experience is tailored to you and goals can be set with your coach over your Confidence Clinic journey.
NON HRCAV MEMBERS
ELMORE EQUESTRIAN PARK - Facility Fee $15 - New Gate Entry & Yards
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prevnext( X )
E3PE Member SATURDAY
Group of 3 Lesson -   1 hour

$60.00 AUD Quantity



HRCAV Member & NON HRCAV SATURDAY
Group of 3 Lesson -   1 hour

$70.00 AUD Quantity
Item subtotal:$0.00 AUD



HRCAV DAY MEMBERSHIP
NON HRCAV Members to pay

$30.00 AUD Quantity
Item subtotal:$0.00 AUD



E3PE Member SUNDAY
Group of 3 Lesson -   1 hour

$60.00 AUD Quantity
Item subtotal:$0.00 AUD



HRCAV Member & NON HRCAV SUNDAY
Group of 3 Lesson -           1 hour

$70.00 AUD Quantity
Item subtotal:$0.00 AUD



Total

$0.00 AUD
PAYMENT DETAILS

Payment to please be made within 24hrs of booking.

This will ensure your spot will be allocated and confirmed.

NO PAYMENT - NO BOOKING!
BANK DETAILS

Elmore 3PE Club

BSB # 083 - 004

ACCT # 912 178 151

REF "SURNAME"
Cancellation Policy
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Elmore 3PE Club presents Pole Club Clinics with Kylie Calderwood

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PAYMENT DETAILS

BANK DETAILS

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