Printable Booking Form for people paying by ChequePlease PRINT this page, complete fully then send it along with a cheque for your deposit to the address at the bottom. Once you have booked on we contact you with a request to pay your balance approx 6 weeks before the event date. At this time we start to email out camp information and draft timetable/stable plan. Please do tell us if you don�t hear from us as sometimes the emails get blocked and we have no way of checking! |
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Event name : | Somerford Park | |||
Date: | 16 - 18 March 2012 | |||
Your name: | ||||
Your date of birth: | ||||
MINIMUM AGE OF 13 YEARS OLD TO ATTEND, anyone under the age of 18 years need to be escorted 24 x 7 by an adult over the age of 18 years old. | ||||
If your event is being run with an equine organisation ie: BD/BHS please give us your membership number so we can verify you | ||||
Address: | ||||
Daytime telephone: | ||||
Evening telephone: | ||||
Email address: | ||||
Your email address will be added to the Active Rider email address list, when we have new information we will tell you about it. You can unsubscribe from this service at any time. | ||||
Where did you hear about Active Rider?: | ||||
Ability / Level of experience *: | ||||
* To help us group people. Tell us what level you and this horse compete in, please name the equestrian organisation and class. Here are some examples: I.e.: We aim to compete this year in BE 100 classes. OR we compete with the BSJA in British Novice Classes OR We compete at Riding Club level, showing classes only. Nb: We just want a one liner here please. | ||||
Is your horse a stallion or have any known stable vices? | ||||
Entire Gelding Mare | ||||
Cost per horse: | £225 | |||
Total cost: | ||||
All hook ups are now to be purchased and ordered from Somerford Park Farm directly. |
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Deposit: (£225 per horse) | ||||
Balance: | ||||
FLAT LESSONS ON FRIDAY ONLY - XC & SJ SAT & SUN | ||||
Tick if vegetarian | ||||
If you have specific diet requirements please give us more information as to what you can/can not eat at camp: | ||||
Cross Country: |
PLEASE ONLY TICK THE LEVEL IF YOU ARE ABSOLUTELY CAPABLE OF JUMPING ROUND A FULL COURSE AT THIS HEIGHT Intro Beginner: (capable of riding through water, jumping small logs)Beginner: (capable of jumping logs, small banks, logs, small in and out of water) 70CM 80CM 90CM 1 metre 1.10 metre WE WANT TO MAKE SURE THE CAMP GROUPS ARE TIGHT. PLEASE DO NOT PICK A HIGHER GROUP UNLESS YOU ARE ABSOLUTELY HAPPY TO JUMP A FULL COURSE ROUND IT | |||
Show Jumping: |
PLEASE ONLY TICK THE LEVEL IF YOU ARE ABSOLUTELY CAPABLE OF JUMPING ROUND A FULL COURSE AT THIS HEIGHT Intro Beginner: (capable of jumping poles on ground, small X poles, small fillers up to 50cm)Beginner: (capable of jumping small X poles, low uprights, fillers up to 60cm) 65CM 75CM 85CM 95CM 1.05metre 1.10metre WE WANT TO MAKE SURE THE CAMP GROUPS ARE TIGHT. PLEASE DO NOT PICK A HIGHER GROUP UNLESS YOU ARE ABSOLUTELY HAPPY TO JUMP A FULL COURSE ROUND IT |
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Dressage: (if you need clarification on these levelscall Jane on 07736 872307) |
Beginner
BD Prelim
BD Novice BD Elementary BD Medium BD Advanced Medium BD Advanced | |||
Optional extra lesson (specify below) |
�25 per place booked | |||
PLEASE book & pay for hook ups directly with www.somerfordpark.co.uk | ||||
Extra meals can be provided at a cost, for example if you are inviting a guest to camp. In the free text box below please tell us how many days you require, if your guest has any dietary needs and what your guests name is? | ||||
Emergency contact information: | ||||
Medical notes: | ||||
If you want to purchase some of our exclusive clothing please pick what you want, tell us your size and we will bring it with us! Our clothing is non compulsory for our events - it is really good quality/value for money.
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Any other information: | ||||
I have read and accept Active Rider's terms and conditions available to view at www.activerider.co.uk/terms.php | ||||
Please read the insurance waiver and sign in the box below. I, the undersigned, do hereby state that I wish to participate in Active Rider training activities at the above Event on either or any of the above dates and that I have read and understood the events conditions as laid out in the attached letter or on line prior to any Paypal booking. In order for me to attend the Active Rider training I confirm that I have adequate insurance that covers me for both personal and public liability and that insurance is my responsibility. I understand that all activities are VOLUNTARY and that I do not have to participate. It is understood that these activities are potentially dangerous or harmful to me or property, and that by participating, I voluntarily accept and assume the risk of personal injury or damage to property. I am intending to use my own judgement and knowledge as to what activities I attempt to take part in. At all times I will take into account the experience, capabilities and skill level of myself and my horses, regardless of others motivating me. In the event of any accidents or injury to myself, other persons, animals or property I will not hold the Venue staff, the trainers or the organiser responsible. I understand that the event organiser, trainers and Venue DO NOT provide any insurance coverage for persons or property; and I acknowledge that I am responsible for my own safety and health care needs, and for the protection of property. In exchange for allowing me to participate in these activities, I the undersigned, agree to release from liability, agree to indemnify, and hold harmless the event organiser, trainers, Venue staff and anyone acting within the scope of their duties, for any injury to me or damage to my property. I understand that this document is complete unto itself and that any oral promises or representations made to me concerning this document and/or its terms are not binding upon the organisers. Only sign below if you accept all the contents: I have read and agree to the above conditions. I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT. I HAVE READ AND UNDERSTOOD THIS RELEASE AND I UNDERSTAND ALL ITS TERMS. I EXECUTE IT VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS MEANING AND SIGNIFICANCE. |
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Signed: | ||||
Dated: | ||||
Click here to view a print-friendly reminder list for this camp. Please scan this form or take a picture of it and send to jane@activerider.co.uk |
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