Registration form Whakatane

Registration form
Whakatane - Nov 14th - 10-2pm

* Indicates required field

I wish to attend *

With horse - $60 (including ground fees) Without horse (audit) - $20

Name *

First

Last

Email *

Phone Number *

Your address *

Emergency contact: Name, relationship & mobile number *

If attending with your 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? *

Please read the Terms & Conditions before submitting this form.

I have read and agree to the Terms & Conditions *

Yes No

Submit