Clinic Registration Form Saturday 9th November 2019
Location: 700 Strath Creek Road Tyaak Time: Arrive 9am for a 10am start Groundwork, Lunch 12-1, Ridden till 4pm Finish. Cost for the clinic per rider is $130. Your place can be secured with $50 Deposit

* indicates required fields 
  *Contact Number:
  *Email Address:
  *Emergency Contact Person:
  *Emergecny Contact Phone Number:
  *Horses Name:
  *Horses Breed:
  *Horses Age:
  *Address where horse is normally kept:
  *Payment made Via EFT:  Yes
  *Special Dietry Requirements:

Payment can be made via direct deposit to the account below with your name as reference. *payment is transferable but non refundable. Roseneath Performance Horses BSB: 083 644 ACC: 17236 6850. After filling the details click on the SUBMIT button.
 Roseneath Performance Horses PO Box 531, Kilmore, Victoria 3764 Phone: 0419 370 645  ABN: 83926964727
Horse Breaker Kilmore, Victoria
Copyright 2009, by F. L. Deppeler. All rights reserved. Text, images and design are protected by International Copyright Laws, and may not be copied, reprinted, published, translated, hosted, or otherwise distributed by any means without explicit permission.

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