RWYM
BOOKING FORM
PLEASE RESERVE A PLACE FOR ME ON A ‘RIDE WITH YOUR MIND’ COURSE .
Name
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Email address
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Telephone | Day: Evening: |
Emergency Contact | Name: Contact Number: |
About You | Most 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?!) 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