Eventing Clinic with Megan Jones

21st, 24th and 28th April 2005

(3 x 1 day clinics)

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Qualified NCAS Level 2 Eventing Specialist coach and BHS Level III rider. Member of the Australian Elite Squad for the 2002 World Championships and 2004 Athens Olympics.

 Why don’t you take this opportunity to iron out any mid season problems you or your horse may be having. Maybe you’re about to upgrade and need a confidence boost! Whatever the reason, come along and get ready for the rest of the Eventing season.

 

 

Clinic Details

Clinic Date (please circle):          21st April                        24th April            28th April

Cost:                $80 per 1 day clinic (cheques payable to Kirby Park Stud)

 

Rider Details

Rider’s Name:                                                                                                               

Rider’s Age:                                                                                                                   

Experience:                                                                                                                    

                                                                                                                                     

Address:                                                                                                                      

                                                                                                                                     

Phone:              (BH)                                          (AH)                                          

 

Emergency Contact Details

Name:                                                                                                              

Phone:              (BH)                                          (AH)                                          

               

Permission to contact Family Doctor

Name:                                                                                                                          

Phone:                                                                                                                         

Rider’s Signature (parent/guardian to sign if rider under 18):                                              

 

Any medical problems we should be aware of (eg Asthma, allergies etc):

                                                                                                                                     

                                                                                                                                     

 

Disclaimer

I acknowledge that neither organizers nor the owners of the properties on which the clinic is held will accept any liability for any accident, damage, injury or illness to horses, riders, grooms, spectators or any other persons on the properties whatsoever.

 

Date:                                          Signature:                                                                    

Parent/Guardian signature if rider under 18:                                                                       

 

Enquiries:

                        Megan Jones: Mb: 0417 858 371 or Ph: (08) 8388 7499 (after 8pm)

 

PO Box 732                                                                                                          Telephone: (08) 8388 1101

Stirling                                                                                                                           Fax: (08) 8388 1197

South Australia 5152                            www.kirbypark.com                               Email: enquiry@kirbypark.com