Sydney Horse Riding

Participant Name *

Please record the rider's name

First Name

Last Name

DOB *

Rider's Date of Birth

MM

DD

YYYY

Gender *

Male

Female

Preferred Dates *

Beginner - 7th January (Tue)

Beginner - 8th January (Wed)

Intermediate - 10th January (Fri)

Beginner - 14th January (Tue)

Beginner - 15th January (Wed)

Beginner - 21st January (Tue)

Beginner - 22nd January (Wed)

Advanced - 24th January (Fri)

Beginner - 28th January (Tue)

Beginner - 29th January (Wed)

Medical and Behavioral Notification *

Does the rider have any medical conditions, allergies, disabilities, or mental impairments that may affect their ability to ride and follow instructions in a group setting? Keep in mind horses are sensitive to loud noises and that students who wander off or run away affect our instructor to rider ratios.

Yes, medical

Yes, behavioral

No

Riding Experience *

Please indicate the number of times your child has ridden horses

0-10 times

10-20 times

20-50 times

50+ times

Has your child previously been to camp or had riding lessons? *

Yes, Lessons

Yes, Previous Camp

Yes, Lessons and Camps

No

Can the rider *

Trot?

Trot without holding the saddle?

Steer while trotting?

None of the above

Parent/Guardian Name *

Name of the parent or guardian completing this form.

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best Contact Number *

Country

(###)

###

####

Emergency Contact Name

Who should we call on the day if the rider is ill or injured? Leave blank if this will be you.

First Name

Last Name

Terms and Conditions *

Please confirm that you understand the following: 1) Submission of this online form does not guarantee the rider's enrollment for the day camp date/s selected. 2) It may take a few days for someone to respond to this request, especially over the weekends, as we are very busy attending to customers and horses. Our office is closed every Monday and Tuesday - unless it is school holidays. 3) Someone from Sydney Horse Riding will confirm the enrollment details via email and request a deposit. An enrollment is not confirmed until the deposit has been made.

Yes, I acknowledge the enrollment process is not yet finalised.