Registration form - Otago - Positively Together

Registration form
OTAGO 3 & 4 March 2018

* Indicates required field

I wish to attend *

With horse - Day 1 & 2 ($250) Without horse - participating auditor ($30/day)

Your name *

First

Last

Email *

Phone Number *

Your address *

Emergency contact: Name, relationship & mobile number *

Please read the Terms & Conditions before submitting this form.

I have read and agree to the Terms & Conditions *

Yes No

I wish to participate WITHOUT a horse: *

Day 1 Day 2

If attending with horse:

Your horse's name *

Horse's age *

Size *

Select One *

Any particular goals you have, areas of interest or issues you would like to resolve? *

Training spots on each clinic are limited, and are not confirmed until a 50% deposit (or full amount) is received. Submit this form to indicate your interest and once we have confirmed that there is space for you in the clinic we will email you with the bank account details for your deposit.

Submit

Registration form​OTAGO 3 & 4 March 2018

Registration form
OTAGO 3 & 4 March 2018