| megan jones eventing clinics |
| 1 Day Clinics - January 2008 |
| print this form |
|
Qualified NCAS Level 2 Eventing Specialist coach and BHS Level III rider.
World Equestrian Games Bronze Medallist, 2006. Member of the Australian
Elite Squad for the 2004 Athens Olympics. Winner of CCI***
Melbourne International Horse Trials 2005 and Winner of CCI**** Adelaide International Horse Trials 2005. |
|
Why don’t you take this opportunity to get you and your horse ready for the coming eventing season.
Get ahead of the field and give yourself the confidence to go out there and WIN! |
|
| Clinic Details: $100 per Clinic (2 x 1 Hour Sessions), cheques payable to Kirby Park Stud. 10% discount for 2 or more days. |
| Please circle the Clinic(s) you are registering for |
| Sat 19th Jan | Sun 20th Jan | Mon 21st Jan | Sat 2nd Feb | Sun 3rd Feb |
| Showjumping / Cross Country |
Showjumping / Cross Country |
Showjumping / Cross Country |
Showjumping / Cross Country |
Showjumping / Cross Country |
| Kirby Park Stud, Hahndorf, SA |
Kirby Park Stud, Hahndorf, SA |
Kirby Park Stud, Hahndorf, SA |
Kirby Park Stud, Hahndorf, SA |
Kirby Park Stud, Hahndorf, SA |
| Rider Details |
| Riders Name: | |
| Riders Age: | |
| Experience: | |
| Address: | |
| Phone: | (BH) (AH) |
| Email: |
| Emergency Contact Details |
| Name: | |
| Phone: | (BH) (AH) |
| Permission to contact Family Doctor |
| Name: | |
| Phone: | |
| Riders Signature: |
| Any medial conditions we should be aware of (ie Asthma, allergies) |
| Disclaimer: | No rider will be permitted to ride in the clinics unless signing the EFA Disclaimer (available to sign on the day). |
| Enquiries: | Leigh mobile: 0413 268 321 |
| PO Box 732 | Telephone: | +61 8 8388 7499 | ||
| Stirling | Fax: | +61 8 8388 7499 | ||
| South Australia 5251 | www.kirbypark.com | Email: | enquiry@kirbypark.com |