School Holiday Program

SUMMER 2024 - 2025 COST: 4 DAY PROGRAM $600, 1 DAY PROGRAM $195 This holidays we wont be opening the 1 day placements until the 4 day placements are full. (Fees to be paid at the time of booking.)

Date Of Birth*

DD

MM

YYYY

Childs Name

Sex

Female
Male

Parents Name

Parents Email Address

Mobile/Phone

2nd Emergency Contact: Please provide Emergency contact numbers (not listed above)

Name

Mobile/Phone

Email Address

Relationship

PROGRAM DATES: Please mark the programme enrolled for:

Four Days NEW Beginner Program

NEW Beginner - No Experience is necessary. This program is suitable for riders with under 50 hours of riding experience who do not ride with us on a regular basis. When a program is FULLY BOOKED the option to register has been removed.

Week 1 - Monday 6th – Thursday 9th January
Week 2 - Monday 13th – Thursday 16th January
Week 3 - Monday 20th – Thursday 23rd January
Week 4 - Tuesday 28th – Friday 31st January

Four Days GP Beginner Program

GP Beginners are riders that ride on a weekly basis at Gooromon Park in our Beginner 1 or Beginner 2 level. When a program is FULLY BOOKED the option to register has been removed.

Week 1 - Monday 6th – Thursday 9th January
Week 2 - Monday 13th – Thursday 16th January
Week 3 - Monday 20th – Thursday 23rd January
Week 4 - Tuesday 28th – Friday 31st January

Four Days GP Intermediate Program - Amanda or Danielle

GP Intermediate Programs are designed for regular riders. With more than 50 hours experience, you should be able to walk, trot, canter and jump up to 50cm confidently in the arena or paddock. First Week Danielle, Second Week Amanda focus on Jumping

Week 1 - Monday 6th – Thursday 9th January
Week 2 - Monday 13th – Thursday 16th January
Week 3 - Monday 20th – Thursday 23rd January
Week 4 - Tuesday 28th – Friday 31st January

MEDICAL/DISABILITY/BEHAVIOURAL CONDITIONS

Disclaimer & Acknowledgement

Please disclose all medical and behavioural conditions, as it is of the utmost importance that our staff totally understands those in their care

No
Yes

Details

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

Visa
Mastercard

Card No:

Security No:

Expiry date:

NON-REFUNDABLE DEPOSIT*

You will be contacted directly to confirm your place, you will be charged a non-refundable deposit of $100 + 1% C/C charge. PLEASE NOTE: The remainder of the payment will be processed on the card provided one week prior to commencement of the program.

CANCELLATIONS/REFUND POLICY*

Booking Fee: - NON REFUNDABLE booking deposit - no refunds are given if your child is unable to attend due to ill health, if an incident or event is outside of Gooromon Parks control, or if for any reason your child declines to attend all or part of the holiday program. Cancellations must be made 2 weeks prior to date of commencement. Please read the above before booking or paying for the School Holiday Program

Date*

CAPTCHA

GOOROMON PARK - SCHOOL HOLIDAY FORM

School Holiday Program

2nd Emergency Contact: Please provide Emergency contact numbers (not listed above)

PROGRAM DATES: Please mark the programme enrolled for:

MEDICAL/DISABILITY/BEHAVIOURAL CONDITIONS

Disclaimer & Acknowledgement