Dressage Booking Form

 

Rally title

Rally date

  

Tell us how to get in touch with you:

Name

Age

Address

 

 

 

Postcode

Email address

Horse or Pony Name

Height Age

Telephone Number (Home)

Mobile

Any additional information we may need:
Please state any medical conditions or allergies to this member and state any current medications. Please state any Pony Club tests taken.
Please indicate length of training requested.

I have enclosed a cheque for
made payable to: The Burghley Branch of the Pony Club
Please mark back of cheques with rally name and date.
Thank you

     post to: Laura Leicester, Patria Lodge, Jekylls Gate, Fleet Fen, Holbeach, Spalding, Lincs. PE12 8QS