<p> Sandy Stanway LICENSED 3* PARELLI INSTRUCTOR Workshop Application Form</p><p>Name: ______Email: ______Address: ______City / Town: ______Post Code: ______Daytime Phone: ______Evening Phone: ______(Circle) Male - Female Age: ______</p><p>Current Parelli Level Achieved: (Circle) Official - Unofficial Pre Level 1 Level 1 Level 2 Level 3 Level 4 Membership # ______Non Member: </p><p>Workshop Pricing  Sat 20th February 2016 – 9am – 1pm Level 2-3 - Young or Green horse Focus Workshop o Rider/Participant with Horse - $120 o Auditor/Spectator - $50  Sunday 28th February 2016 - 9am – 1pm LEVEL 2-3 – RIDING WITH CONFIDENCE, SAVVY, SAFETY AND STYLE WORKSHOP o Rider/Participant with Horse - $120 o Auditor/Spectator - $50</p><p>Payment Method: Online Banking – Name: S Stanway: 03 1592 0422649 92 Date paid ____/____/____ NB: Please use your name as a reference for online banking. The full course fees must be paid in full to confirm your place. *By signing here I acknowledge and understand that full payment is required to confirm my position on the workshop. See cancellation policy below</p><p>Signature: ______Date: ____/____/____/</p><p>Terms and Conditions for Workshop Participants. Un-started (unbroken) horses and stallions may not participate in a workshop. If you want to bring a young horse (minimum age is 4) please contact Sandy directly at [email protected] with details of the horse, to request participation. You are responsible for your horse at all times. Sandy or the organiser reserve the right to turn away horses considered not to be in good health and which may be a hazard to others. Young Riders Applicants under the age of 16 will be accepted into courses by approval only and must be accompanied by a parent/responsible adult at all times.</p><p>Cancellation Should you need to cancel after paying for the workshop, it is fully refundable until 5 days prior to the workshop. Cancellation less than 5 days prior to the workshop is 50% refundable. I agree to the refund policy by initialling here: ___ In the event that the workshop is cancelled by the organiser or Sandy, a full refund will be given.</p><p>Photos  Photos’ are meant to be for your personal use only, not for commercial purposes or public viewing. You are not authorized to publish or display (including Facebook , YouTube etc) any photos taken of Sandy, the staff, anyone else or anything at the Parelli workshop without written permission from Sandy and the person (or people) in the photo. Please no video cameras.  By signing this application form you agree that your photograph can be taken and used for promotional purposes by Sandy or her staff.</p><p>No dogs - Strictly no dogs please.</p><p>By signing here I acknowledge and agree to the above terms and conditions. Signature: ______Date ____/____/____/</p>