CROSS COUNTRY SKILLS CLINIC
1st & 2nd April 2010

Name

Address

Home tel. No

Own or hired horse or pony?

Brief details of experience

Any other relevant information

Each course costs €80 for hired , €60 with own, please enclose a deposit of €30 (non refundable) to confirm your booking- balance payable at start of course.

 Date of birth if under 18_____________________

Signature of rider.(parent or guardian  if under 18yrs)________________________________________

Please note all participants must have a current waiver form.