Clinics

Michael Wilson

Date: Saturday 3/08 & Sunday 4/08!

Fence sitting $110

Cost includes a fence sitting position for one day, including food

Ridden Position $660

Cost including a ridden position for two days, all food, camping & one horse yard

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Your spot to the clinic will only be confirmed once payment is made

By submitting this form you have also read and agreed to our Terms & Conditions which can be located by Click Here.

Your Name

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Your Address

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Participant is over 18 years old

Yes
No

Do you need a campsite

No thanks
Yes - Friday to Sunday
Yes - Saturday night only

Medical Information

This registration form contains questions requiring sensitive information. These are necessary in order to best care for you/ your child and the information will only be used to pass on to Kennallywood staff and medical parties. All costs for medical services (other than basic first aid) are at the expense of the participant.

Medicare Number

Emergency Contact Name

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Year of last TETANUS IMMUNISATION

Year only, please leave blank if you are unsure

Is it necessary for you (or your child) to carry their own medication at all times?

No
Yes

Medical info we should know

Allergies (explain reaction); learning difficulties etc

I consent to medical attention and authorise the instructor in charge to administer first aid and call and ambulance. I agree to bear any cost thereby incurred.

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Yes

By registering, I agree to permit the use of photographs and videos, or other pictures of applicant, in promoting clinics at Kennallywood in the future. No other photos or recordings will be allowed.

No
Yes

Do you agree to the terms & conditions below

Yes

Clinics are non refundable, you are welcome to “sell” your spot to another participant or get in contact with us to see if we have a waiting list. In the event of extreme wet weather or pandemic etc we will reschedule and you will have the ability to get a refund or transfer to the new date. All clinics must meet a minimum number to run. A full refund will apply if Kennallywood cancels the clinic. Clinic details are subject to change without notice.

Questions or Comments

Which clinic / workshop are you booking into

Please select from the drop down above.

Are you riding or fence sitting?

Please note this is a dry and wet work clinic

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