Registration form Whangarei

Registration form
WHANGAREI: 22-23 June 2019

* Indicates required field

I wish to attend *

With horse (both days) - $300 Without horse (audit) - $50/day or $80 for both

If attending WITHOUT a horse, which days are you coming? *

Day 1 Day 2

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

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. Look forward to seeing you there!

Submit

Registration form​WHANGAREI: 22-23 June 2019

Registration form
WHANGAREI: 22-23 June 2019