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Intake Form
Equine Intelligence Clinics Booking Form
Once you have booked and paid please complete the below
Booking Form
to secure your place.
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Name
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Email Address
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Contact Number
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Medical Information
Do you have any medical conditions we should know about?
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Yes
No
If yes, please list any medical conditions you have so we are best able to assist you in an emergency. Thank you.
Emergency Contact.
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If yes, please give a brief description.
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Additional Guests/Spectators
Please list any additional guests/spectators coming with you.
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Where did you hear about us?
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By submitting this form you are agreeing to the following statement:
I am over 18 years of age. I am aware that I am responsible for my own insurance during this course and undertake and agree that neither I, nor my personal representatives will make claims against Equine Intelligence, Hampshire Horse Agility, Lucy Morgans or anyone else connected with this course in respect of any loss or injury to property or person which I may sustain.
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