COURSE
APPLICATION
FORM
Thank you for expressing interest in the courses taught
by Certified Instructor Tessa Horan at T.H.Equestrian.
Please fill in the form below and either post or email it
back to the address provided below.
Certified Monty Roberts Instructor & Enlightened Equitation Teacher
Name:
Age:
Address:
Town/City:
Country:
Post/Zip Code:
Telephone No:
Email address:
Emergency Contact name;
Emergency Telephone No.
Please note that the Monty Roberts International Learning Centre in America require that all student names and contact details are
passed on to Join-Up International for the sole purpose of keeping records of their students across the world. Your submission of this
application form shall confirm your consent to the release of information.
Please give a brief summary of
your involvement with horses:
Do you have any existing
medical conditions?
What do you hope to gain from
the course?
How did you bear about
T.H.Equestrian?
T.H.Equestrian, Keepers Cottage, Ranmore Common Road, Westhumble, Dorking, Surrey, RH5 6AZ
[email protected]
(+44)772581 7659
www.thequestrian.com
Please Indicate the name of the course(s) and the dates you would like to attend (dates & venue info can be found at www.
thequestrian.com/what-we-do/courses-and-certification or by contacting Tessa:
Course
Name(s):
Dates:
PRICING
Introductory Course of Horsemanship
£1000 – 2 weeks + practice weekend
£450 – Exam price.
Modular option:
£400 – 4 days
£200 – 2 days
£200 – 2 days
£200 – 2 days
10% discount available for returning students
Join-Up Course
Long-Lining Course
Horse Psychology Course
Ground Manners Course
‘Taster’ days, demos, workshops & Enlightened Equitation Clinics (ridden or dismounted):
Up to 2 hours
Half Day
Full Day
£ 75
£120
£200
All horses, round pen and training equipment can be provided. Spectators & participants have the option to use their own horses, livery
can be arranged by separate negotiation (unless at owner’s premises/livery). All participating students are required to wear a hard safety
helmet conforming to current safety standards.
A non-refundable deposit of 50% is required in order to secure your place on the course. The remainder of the course fee is due prior
to the start of the course. If you are unable to attend the class for any reason, this deposit can be applied to any other course of your
choice, within the next year. We recommend that students insure themselves against loss of fees due to cancellation or early termination
of course.
PAYMENT
PayPal
Payment sent to [email protected]. Please select the amount and note which course and
dates in the transaction notes.
Cheques
Made payable to Tessa Horan and addressed to T.H.Equestrian at Keepers Cottage, Ranmore
Common Road, Westhumble, Surrey, RH5 6AZ. Please specify course and dates on the reverse of
the cheque.
Bank Transfer
Made payable to T.H.Equestrian, Barclays bank, Account no 53430790, Sort code 20-47-34. Please note which course & dates when making transfer.
STUDENT CONFIRMATION
The student agrees to take responsibility for any damage incurred as a result of their actions or their horse’s.
Whilst every precaution will be taken to ensure safety, riding and working with horses is recognised as a potentially dangerous sport/
activity, with the risk of injury. Students will be provided with safety rules and are required to read and adhere to the safety rules
throughout the course. Failure to comply with the safety rules will result in removal from the course and disentitlement of full or partial
refund of the course fees.
I hereby confirm that the information provided in this form is
accurate and I have understood the rules, regulations and risks
associated with my participation on the course I have selected.
Student signature
Students must be over 18 at the time of the course or be accompanied by a parent or legal guardian.
Signature of parent/guardian:
Print:
Relationship:
T.H.Equestrian, Keepers Cottage, Ranmore Common Road, Westhumble, Dorking, Surrey, RH5 6AZ
[email protected]
(+44)772581 7659
www.thequestrian.com