BOOKING FORM

Number of years riding experience and when did you last ride

Are you a beginner?

Can you walk and trot un-lead?

Can you canter?

Can you jump? (please state the height)

Arrival date

Departure date

Full Name
Address



Postcode
Country
Email
Telephone number
Mobile number

Holiday Cost (see price list)

Details:

1	Name	Male/Female	Height	Weight	D.O.B
2	Name	Male/Female	Height	Weight	D.O.B
3	Name	Male/Female	Height	Weight	D.O.B
4	Name	Male/Female	Height	Weight	D.O.B
5	Name	Male/Female	Height	Weight	D.O.B
6	Name	Male/Female	Height	Weight	D.O.B

Rider: - Riding experience:-

Riding is wonderful, but is also a risk sport. Whilst every care is taken, Cullinghood cannot be held responsible for accident, injury or illness. We advise all clients to ensure they have adequate personal accident insurance. Overseas visitors should also have personal medical insurance.

Some of our teaching staff are qualified, some qualified by experience and others are training.

Do you have any medical conditions that we should be made aware of?

Special dietary requirements

OVERSEAS CLIENTS.

We are able to offer English conversation sessions at £15 per person per hour.

We can arrange for Pangbourne Taxi’s to collect and return you to the airport (charged at cost)

We have a heated swimming pool which may be available for guests. Can you swim? ……

Please reserve ……… place(s) on the holiday dates above or contact me if fully booked to select another date. I have read and accept the conditions and prices. I enclose a non-refundable deposit. Please make your cheque payable to Cullinghood, we regret that we do not accept credit cards.

We are not permitted to administer painkillers, wasp ease, plasters etc without written consent from the Holiday Guest or Parent/Guardian if under

However in any emergency, I authorise your staff to administer first aid and to obtain professional medical assistance should it be necessary, without prior notice.

Signature ……………………………………	Holiday Guest, or Parent/Guardian	Date
YOUR OWN HORSE/PONY IS WELCOME
Mare or Gelding
Height
Stabled
Grass Kept

Please contact Cullinghood for further details.

Cancellation: We reserve the right to cancel the course for any reason beyond our control in which all monies will be refunded. Should you need to cancel your course we will require 7 days notice to transfer the booking to a more suitable date. Refunds are not made.

Please complete this booking form and forward it with a 10% deposit per person (balance to be paid 7 days prior to arrival)

Cullinghood Equestrian Centre,

Herons Farm,

Pangbourne,

Berkshire,

RG8 8QA

Telephone: +44 (0)118 974 5228

Proprietor: +44 (0)118 974 5227 Mobile 07973 304956

Fax: +44 (0)118 974 5229

E-mail: enquiries@cullinghood.co.uk

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