GOOROMON PARK - SCHOOL HOLIDAY FORM School Holiday ProgramSPRING School Holidays COST: 4 DAY PROGRAM $695; 1 DAY PROGRAM $195 Date Of Birth* DD MM YYYY Childs Name First Last SexFemaleMaleParents Name First Last Parents Email Address Mobile/Phone2nd Emergency Contact: Please provide Emergency contact numbers (not listed above)Name First Name Last Name Mobile/PhoneEmail Address RelationshipPROGRAM DATES: Please mark the programme enrolled for:Four Days NEW Beginner ProgramNEW 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 - 28th Sept - 1st Oct Week 2 - 6th - 9th Oct Four Days GP Beginner ProgramGP 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 - 28th Sept - 1st Oct Week 2 - 6th - 9th Oct Four Days GP Intermediate ProgramGP 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. Week 1 - 28th Sept - 1st Oct Week 2 - 6th - 9th Oct One Day ProgramsBookings for the four day programs will take priority. Monday 28th September Tuesday 6th October More InformationMEDICAL/DISABILITY/BEHAVIOURAL CONDITIONSDisclaimer & AcknowledgementPlease disclose all medical and behavioural conditions, as it is of the utmost importance that our staff totally understands those in their careNoYesDetailsAUTHORISATIONS* 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* At the time of booking, 50% of the program fee is payable. This payment includes a non-refundable administration deposit of $100 plus a 1% credit card processing fee. If a participant cancels their booking, the balance of the amount paid (excluding the non-refundable deposit and processing fee) may, at our discretion, be issued as a credit for a future program. Nothing in these terms excludes or limits any rights available under the Australian Consumer Law. BOOKING FEE AND CANCELLATION POLICY* A non-refundable booking deposit is payable at the time of booking to secure your child's place in the School Holiday Program. Cancellations must be made in writing at least 14 days prior to the program commencement date. Where a cancellation is received at least 14 days before commencement, any amount paid above the non-refundable booking deposit may be issued as a credit voucher for use towards a future Gooromon Park program. No refunds or credits will be provided where a participant is unable to attend due to illness, personal circumstances, or where the participant chooses not to attend all or part of the program. If a program is cancelled, postponed, or significantly affected due to circumstances beyond Gooromon Park's reasonable control, Gooromon Park will consider appropriate remedies in accordance with its obligations under Australian Consumer Law. Please read and understand these terms before making your booking or payment. Nothing in these terms is intended to exclude, restrict, or modify any rights or remedies available under the Australian Consumer Law. Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920CAPTCHA