RWYM

BOOKING FORM

PLEASE RESERVE A PLACE FOR ME ON A ‘RIDE WITH YOUR MIND’ COURSE .  

or DOWNLOAD THE PDF HERE

Name

 

 

Email address

 

 
TelephoneDay:                                                     Evening:
Emergency ContactName:                                                   Contact Number:
About YouMost recent courses attended:                            Date and Venue:
If new to RWYM where did you hear about the courses?
Age Group:  Under 16 / 16 – 25 / 26 – 35 / 36 – 50 / 50+
Your Health

Do You Have Any Medical Conditions That May Affect Your Ability To Ride, Or That We Should Know About In Case Of Emergency?

YES / NO

Have You Ever Suffered Any Serious Injury Or Discomfort Whilst Riding? 

YES / NO          

 IF YES, PLEASE DESCRIBE ON REVERSE OF FORM

Your Horse

 

School horses may be available on some ridden courses –contact the local organiser.

 

School horses will be available on TT courses, but we apprec- iate riders bringing a horse that other riders can also ride.

I will be bringing my own horse YES / NO – please provide a horse for me.

If ‘NO’ My Height ________  Weight _________ please indicate your experience on reverse of form.

If ‘YES’ Height:______ & type_________ Your horse must have had its Flu Vaccination within 12 months of the course. Please bring his passport as this is checked on arrival.

 If turned out at S Bucks RDA (TTs), he must be wormed with Equest Pramox 48 hours before arrival or an FE Count and equisal or blood test within a month before. Please bring empty box/syringe of wormer or proof of worm count.  

Does your horse chew wood /crib/ kick /weave /bite …etc? (or is he the kind of well-behaved horse we most like to have around?!)
I would prefer a small paddock to a stable if available (S Bucks & some other venues). Horses must respect electric fencing.                          

YES / NO

COURSE

DEPOSITS:

Orientation Day for new-comers to TT – £120

Lateral, Basic and Advanced TT – £260

Payable to Mary Wanless Sort code: 80 02 14 / Account no. 00332819

Ridden course – £350 payable to the local course organiser.

I enclose a deposit of £…………. I understand that this is non-refundable, and will only be held over for a future course if a replacement is found for me. I will not hold Mary Wanless, the teaching team, or the course venue, responsible for any accident or illness which may arise in connection with this course. I acknowledge that riding is a risk sport, that participation may hold potential danger, and that all horses may react unpredictably on occasions. I understand that I must perform all procedures in the way I have been instructed, and that I may put myself at risk by not doing so. If I do not feel comfortable doing any procedure, I have the right to refuse.  I reserve the right not to ride a horse allocated to me. I understand that riders are recommended to wear back protectors for jumping. I confirm that to the best of my knowledge all the above details are correct.

 

Signed……………………………………………………………………………..           Date……………………………….

                      

Please return to the Course Organiser. For TT & other courses at S Bucks RDA the address is:

1, Burtons Bank, Church Westcote, Nr Chipping Norton, Oxon OX7 6SE. Tel: 01993 831193

rwymadmin@hotmail.co.uk