Joydens Wood Horse Riding Permit Scheme 2013
Application Form For Individual and Family Membership Permits
Note - Permits are issued to the rider not the horse/pony
Please note missing information such as photographs, copy of current insurance and incomplete
application forms will delay the processing of your application for your permit and key.
SECTION ONE – Main Riders Details (Additional applicants details to be given in Section 4)
Name:
Telephone Number:
Address:
Postcode:
Name of Yard where horse is stabled:
SECTION TWO – Permit Details
Individual Permits – (main rider)
12 month permits available only
1st March 2013– 28th February
2014
COST No. of Permits
Required
£76.00
£
Additional Riders – sharing the same horse
£32.00
£
£74.00
£26.00
£10.00
£
£
£
TYPE OF PERMITS AVAILABLE
Total
Maximum number of 3 Additional Riders for any
one permit
Family Membership (see condition 26)
Residing at the same address
First Rider (Horse/Pony Owner)
Additional Rider – Adult (18 and over)
Additional Rider – Child (under 18)
Maximum of 3 Additional riders for any one permit
TOTAL AMOUNT PAYABLE: - (prices include VAT @ 20%)
Total: £
SECTION THREE – Number of Horses per application
You are entitled to a maximum of 3 horses/ponies per permit. Please name them:1. .................................................... 2. ................................................... 3. ..............................................
Please provide a copy of your current insurance for each horse
SECTION FOUR – Personal Details of All Additional Riders
Additional Rider 1
Name:
Telephone No:
Address:
Additional Rider 2
Name:
Address:
Telephone No:
Additional Rider 3
Name:
Telephone No:
Address:
SECTION FIVE – Photographs (all riders) & Proof of Age (Child permits only)
Each rider is to submit 2 RECENT PASSPORT SIZE photographs
Number of Photographs
enclosed:
Each photograph must have the appropriate name written on the
reverse side
Proof of age is required for children’s permits (copy of birth certificate, passport or
similar is required). Please do not send original documents as they cannot be
Proof of Age enclosed:
returned.
SECTION SIX - Insurance
Either:
I am a member of the British Horse Society:-
Membership
Number:
Renewal date:
Please supply proof of membership
Or:
I enclose a copy of my current insurance policy or
cover note
Renewal date:
SECTION SEVEN – Payment Details
I wish to pay by: (please tick appropriate box)
Cheques to be made payable to JW Equestrian Ltd (see attached letter)
Cheque (enclosed)
Credit Card:
(MasterCard/Visa/Access/Switch
/Maestro only)
Card Number:
Expiry Date:
Switch/Maestro
Card Issue No:
Signature:
SECTION EIGHT- Checklist
Please ensure the following items are attached securely to this form to enable rapid processing
of your application.
Please note missing information such as photographs, copy of insurance and incomplete
application forms will delay the processing of your application for your permit and key.
Please tick boxes if enclosed:
Copy(s) of current insurance policy or cover note
Cheque made payable to JW Equestrian Ltd (if applicable)
Photographs of ALL riders
Proof of Age (Children’s’ permits only)
Please do not send any original documents as they cannot be returned
SECTION NINE - Declaration
I can confirm that, I and all named riders (if applicable) have read and agree to abide by the
2012 conditions of the Horse Riding Permit Scheme.
Signed (Main Rider): _______________________________
(if under 18, to be signed by parent or guardian)
Date:
Please return to Mount Mascal Stables at:
Vicarage Road,
Bexley
Kent, DA5 2AW
Your Permit/Key will be available for collection from Reception.
Please allow 10 working days for processing.
For Office Use Only:
Date Actioned:
Rider 1
Permit No:
Key No:
Replacement
key or permit
info:
Rider 2
Rider 3
Rider 4