Working Equitation Yarra Valley Booking Form

Saturday 3rd August instructor : Ro Jelbart
Thurs 15th August instructor: Claire Knowles

Venue: Emzara Park Indoor, Wandin North 3rd August Saturday

Venue: Maurice Road Gruyere 15th August Thursday

Format: 2 riders per 1 hour lesson

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* 1. Riders name and contact information

Name

Email Address

Phone Number

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* 2. Emergency contact on rally day - please provide name and mobile number

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* 3. Please select below..

Saturday 3rd August instructor Ro Jelbart

Thursday 15 August instructor Claire Knowles

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* 4. Rally fee (per rally) and membership details

$60 - WEYV member

$70 - Guest rider with HRCAV membership (please select other as well and provide membership number in comments) Guest Riders must be over 18 years old.

$95 - Guest rider with no insurance (includes PL insurance @ $30 - limited to 1 attendance per HRCAV financial year) day insurance is only permitted once per membership year, this option only available for one day

Using a credit from previous cancelled rally

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* 5. Guest riders with HRCAV membership please enter you HRCAV number here - this is mandatory for HRCAV members who are not members of Working Equitation Yarra Valley

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* 6. Assessed dressage level for combination (or estimate)

Level 5

Level 4

Level 3

Level 2

Level 1

Advanced

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* 7. Experience level with WE obstacles

young or green horse

First timer, with inexperienced horse

First timer, with confident horse

Some experience with WE obstacles

Experienced with most WE obstacles

Rider experienced with obstacles but horse isn't yet

Other (please specify)

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* 8. Lesson options - to help us best plan the rally groups, please indicate your preferences and where possible we will accommodate them. The default is a ridden obstacle lesson.

flat lesson without tackling obstacles

ridden obstacle lessons

mix of in hand and ridden

in hand only

I would be interested in a private lesson if there is the opportunity (you will be contacted by the rally co-ordinator if this is able to be accommodated. There is an additional cost for a private lesson.)

Other (please specify)

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* 9. Further information to help us in organising the rally. Please tick all that apply...

I can help set up at the start of the day

I can help pack up at the end of the day

I am interested in becoming a WEYV member

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* 10. Payment

Please make your payment via EFT transfer to
WEYV account
BSB: 633 000
Account Number: 151477684

Please include your name and rally date in the transaction reference

Please indicate your payment method using the check boxes below.

Your rally booking will not be accepted until payment has been received into the WEYV account.

I have transferred my payment with my name and rally date as the reference

I have a credit from a previous rally and would like to use that to pay for this rally

Working Equitation Yarra Valley Booking Form

Saturday 3rd August instructor : Ro JelbartThurs 15th August instructor: Claire Knowles

Question Title

* 1. Riders name and contact information

Question Title

* 2. Emergency contact on rally day - please provide name and mobile number

Question Title

* 3. Please select below..

Question Title

* 4. Rally fee (per rally) and membership details

Question Title

* 5. Guest riders with HRCAV membership please enter you HRCAV number here - this is mandatory for HRCAV members who are not members of Working Equitation Yarra Valley

Question Title

* 6. Assessed dressage level for combination (or estimate)

Question Title

* 7. Experience level with WE obstacles

Question Title

* 8. Lesson options - to help us best plan the rally groups, please indicate your preferences and where possible we will accommodate them. The default is a ridden obstacle lesson.

Question Title

* 9. Further information to help us in organising the rally. Please tick all that apply...

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* 11. Please provide any extra requests or information here.

Saturday 3rd August instructor : Ro Jelbart
Thurs 15th August instructor: Claire Knowles