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Clinic Application Form

 
Please reserve ....... places on the .................................................. Clinic
on ........................................................
Name ...................................... Tel No .....................................................
Address .........................................................................................................
.....................................................................................................................
.....................................................................................................................
Email Address .................................................................................................
Age if 16 years or under .................................................................................
Horse's Experience



Rider's Experience




Please make cheques payable to Stockland Lovell
I enclose a cheque for full payment, and understand that if I cancel less than 2 weeks prior to the date of the clinic, no refund will be issued unless the place can be filled, in which case a £10 administration fee will be retained.
PLEASE GIVE DETAILS OF HOW YOU HEARD OF THE CLINIC.
 
 
 
 
Signed: ......................................................................................................
Print.................................................. Date................................................
 
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