COURSES 2011

Name_______________________________________________

Address______________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

Home tel. No__________________MB______________________

Dates________________________________________________

Own or hired horse or pony?

Brief details of experience

Any other relevant information

DEPOSIT_€20 _____________________________

Date of birth if under 18_____________________

Signature rider.(parent/ guardian  if under 18yrs)

________________________________________

Please note all participants must have a current waiver form.