holiday riding program

We will be holding a holiday riding program for all levels of riders in the

school holidays. Please complete the form below and return to us with your full

payment.

PLEASE BOOK EARLY AS PLACES ARE LIMITED.

UNFORTUNATELY WE WILL NOT BE ABLE TO TAKE ANY BOOKINGS WITHOUT PRIOR PAYMENT.

riding camp dates – Please .ll in days and dates requested

Child 1days / DATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CHILD 2 days / DATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please ensure children are personally brought to the of.ce and signed out at

the listed times as we are unable to facilitate them outside of these hours.

personal details

CHILD NAME 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGE . . . . . . . . . . Previous camp: Y / N

LEVEL OF RIDING (PLEASE CIRCLE): BEGINNER WALK TROT CANTER JUMP

CHILD NAME 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGE . . . . . . . . . . Previous camp: Y / N

LEVEL OF RIDING (PLEASE CIRCLE): BEGINNER WALK TROT CANTER JUMP

PAID by: cash / credit card

TAKEN BY: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . amount: $ . . . . . . . . . . . . . . . . . . expiry: . . . . . / . . . . .

PARENT/GUARDIAN name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EMAIL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MOB. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

medical info/dietary needs: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PArent/guardian signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . date: . . . . . . . . . . . . . . . . . .

WWW.CENTENNIALSTABLES.COM.AU

CENTENNIAL STABLES

B PAVILION, aisle 1, centennial parklands equestrian centre

114 – 120 LANG ROAD, CENTENNIAL PARK NSW 2021

TEL 9360 5650 EMAIL: admin@centennialstables.com.au

Please Note: There are no refunds under any circumstances

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