Gooromon Park Competition Form

Each class is $55, $30 GP horse hire (Fees to be paid at the time of booking.)

Date Of Birth*

DD

MM

YYYY

Name

Parents Name

Parents Email Address

Mobile/Phone

Email Address

Please mark which class you would like to enter:

Dressage

When classes are FULLY BOOKED the option to register has been removed.

Jumping

When classes are FULLY BOOKED the option to register has been removed.

Details - Please fill out what horse you will ride in each class you enter

AUTHORISATIONS*

Select All
I understand that participating in physical activity carries a risk and I accept all responsibility for that risk.
I authorise Gooromon Park Staff to obtain, at my cost, medical or ambulance assistance in the case of an accident or emergency
I agree that Gooromon Park accepts no liability, financial or otherwise, for any injuries or accidents that occur during this program.
I understand that if my child fails to behave in a manner that is safe, polite and social, they could be suspended from an activity or sent home.
I give permission for Gooromon Park Staff photographing or videoing during there time at the Gooromon Park and acknowledge these photos could be used for promotional purposes by Gooromon Park or there affiliates.
I give permission for Gooromon Park to communicate events, specials for promotional purposes

DISCLAIMER*

Parent/Guardian of the above named attending Gooromon Park Horse Riding Centre acknowledge that I understand that while all precautions are taken to ensure the safety of those attending the Centre and while every care will be exercised, the proprietors and their employees and agents are not liable in any way for any accident or damage which may occur or happen from any cause whatever and the above named person whether participating in any of the activities of Gooromon Park or not, will do so only at my/his/her OWN RISK. On this basis the Signatory/Parent/Guardian/ by ticking on this box. agrees to indemnify the proprietors and their employees and agents against any claim or demand whatsoever made for or on behalf of the above named person or in respect of any horse or property owned or used by the above named person. I confirm that I have read the whole of this document and have taken all necessary actions to ensure I am aware that Horse Riding Is a Dangerous Activity and consent to my/him/her participating in all activities at Gooromon Park, I acknowledge that equestrian activities are dangerous and that accidents causing death, bodily injury, disability and property damage can and do happen. Parent/guardian consent is required for under 18 year old participants.

Credit Card Payments

Card No:

Expiry date:

Security No:

CANCELLATIONS/REFUND POLICY*

Booking Fee: - NON REFUNDABLE booking deposit - no refunds are given if you are unable to attend, after booking your classes.

Date*

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