TRAIL RIDER TRAILERS (NZ)

Home of Smart Like Smart and Bailifscourt Rottweilers

Application and Disclaimer Forms.

Application and Disclaimer Form will be available for you to complete prior to commencement of lesson.  Forms below for your information. 

APPLICATION  FORM (Prices and details on Kristin's page)

  

FULL NAME OF STUDENT ___________________________________________

POSTAL ADDRESS_________________________________________________

AGE OF STUDENT__________________________________________________

PARENT OR GUARDIAN IF APPLICABLE_______________________________

HOME PHONE NUMBER_____________________________________________

MOBILE PHONE NUMBER___________________________________________

EMAIL ADDRESS__________________________________________________  

LEVEL OF EXPERIENCE PLEASE TICK

BEGINNER LEAD REIN (I have had very little experience)  __________________

ADVANCED BEGINNER (I can walk,  trot  and canter unassisted)_____________

INTERMEDIATE/ EXPERIENCED (Please outline your experience)_________________________________________________________________

_________________________________________________________________

Do you have any disabilities, allergies or medical conditions please specify.

_________________________________________________________________

EMERGENCY CONTACT NAME AND NUMBER

_________________________________________________________________

 

 

 

DISCLAIMER

 PLEASE COMPLETE THE FOLLOWING FORM PRIOR TO COMMENCEMENT OF LESSONS:-

Pupils name:_______________________________________________________

Parent or Guardian:__________________________________________________

Full Residential Address:______________________________________________

Contact Phone Number Home:_________________________________________

Mobile:____________________________________________________________

Email:_____________________________________________________________

Alternative name and  number in case of emergency________________________

__________________________________________________________________________________

TO BE SIGNED BY ADULT OR PARENT  OR GUARDIAN IF PUPIL UNDER THE AGE OF 18 YEARS.

I understand that Kristin Gribble Bowring, the owners of the property, the owners of the horses provided and the staff assisting at the time of my lesson or involvement with the horses at 90 Okaroro Drive, Whitford will accept no liability for any loss, damage, or illness to myself, spectators or vehicles . 

 

I have read, understood and agree to adhere to the terms and conditions as set out.


DATE:……../……../……….
SIGNATURE:………………………………….

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