Booking Form for Group Session Workshop

Booking Form FOR GROUP SESSION

We adhere to General Data Protection Regulation.
The information you provide is confidential and will not be shared or distributed to a third party.

* Indicates required field

Name *

First

Last

Email *

Mobile/Tel Number *

Occupation *

Address *

Please tell us which workshop you will be attending

Confirm date *

To be confirmed

Emergency Contact Name *

Emergency Contact Mobile/Tel *

How did you hear about us? *

List medical conditions, injuries, diagnosis *

Brief reason for wanting a session *

Brief outline of experience with horses (if any) *

How would you like to pay? *

Credit/Debit Card Online Bank Transfer

Would You Like Us to Send You Emails about Future Workshops?

Please choose one *

Yes No

When you click 'SUBMIT' below, you will be directed to a payment page.

SUBMIT