Nh Summer Camp Booking Form

CHARLES and JUDITH WILSON SUMMER CLINIC BOOKING FORM 21st – 24h July 2012, at Cornborough Grange

Your details:

Name: Address:

Telephone: Mobile phone: Email:

Your accommodation requirements:

Fri* Sat Sun Mon Tues* Camping in own box or tent @ £5 per night **Pen @ £5 per night Tuition: Early Bird £420*** Regular £480 Total:

* You are welcome to arrive early/stay over ** If you’re going to have a pen for your horse then you will need to bring your own posts, tape and electric charger. If you don’t have your own stuff please let me know, so that we can work that into the field plan! *** Early Bird discount – all fees must be paid in full by 21st June

Remember: All meals are DIY except Monday night when dinner at a local pub will be organised for those who want to have a meal together.

If you plan on staying offsite let me know as I can provide a list of local B&Bs.

To reserve your place please forward a deposit cheque for £100 (minimum) to Liz at the address below. If you want to pay by instalments that’s fine – just let me know your payment plan when you forward your booking form. If you want to make an online transfer the details are:

Account Name: E J Molyneux Sort code: 089286 Account No: 06400332

I am enclosing a cheque for: £______leaving £______to pay As part of the necessary compliance with Charles’ insurance he asks that you wear a hard hat when riding, if you opt not to that is your own responsibility. Please sign below to say you are happy to comply.

I agree to be responsible for my own actions when participating in the clinic run by Charles Wilson. If I don’t wear my hat that is my choice and I will be responsible for my own actions.

You are also signing to confirm that you have at least of 3 rd party insurance for your horse.

Signed: ______Date: ______

You can either call me on 07831 584074 or email me at [email protected] if you have any queries at all.

Please return this form and your cheque (payable to E J Molyneux) to Liz Molyneux, 18A The High Street, Pulloxhill, Beds, MK45 5HA