GOLDEN GATE STUD INSWING CLINIC
Please read carefully, and fill in all required fields.
Please respect NO DOGS ALLOWED.
Please clean up all manure after your horse.
Please circle date attending:
Saturday 5th
/ Sunday 6th
Please tick the circle of which you will be attending:
o
o Groundwork including BBQ $60
o Private Session including BBQ $60
Groundwork and private session including BBQ $110
*1 spectator at $5 extra including BBQ, please download spectator form*
Horse Name:________________________________________________________________
Age:___________________ Breed:_________________________________Height:______________
Colour:________________________ Gender (circle one): Filly Mare Colt Stallion Gelding
Owner Full Name:___________________________________________________________________
Age(if junior):____________________Address:___________________________________________
__________________________________________________________________________________
City/Suburb:_____________________________________Postal Code:________________________
Riding boots to be worn at all times when handling horses.
If you are participating in the private ridden sessions of the clinic you MUST WEAR A HELMET.
Failure to wear appropriate footwear, and/or helmet you will NOT be permitted to mount or handle
your horse on the grounds.
For owner to sign:
By signing this form I waive any and all claims that I may have In the future against Golden Gate Stud
from any and all liability for any loss, damage, expense or injury, including death that I may suffer,
My horse may suffer or possessions I bring to Golden Gate Stud . I am aware of the risk in
owning/handling/riding horses and that at all times they can be dangerous and unpredictable.
Owner Signature: ___________________________________________________________________
Parent/Guardian Signature (if junior):___________________________________________________
Date: _____________________________________________________________________________
Account Name: Sarah Kiryk
Bank: Beyond Bank
Account Number: 0225-1693
BSB: 805-022
Please return to:
72 Justs Road Sellicks Beach, SA 5174