Southern Cross Horse Treks Pty Ltd
A.C.N. 098 741 283/ A.B.N. 11 098 741 283
“Kerewong”, Kathy Holtrust
322 Tipperary Rd Lorne NSW 2439 AUSTRALIA
Phone: +61 (0) 2 6556 9604
Email: info@horsetreks.com.au
Website: www.horsetreks.com.au
BOOKING FORM 2015
Please complete this form as accurately as possible and return by email to
info@horsetereks.com.au.
Please note that this form is also available to fill out online on the Southern
Cross Horse Treks website www.horsetreks.com.au.
Preferred tour:
A: Country & Coast Kerewong Farm Based Horse Riding Tour (5 riding days)
B: Australian Hinterland Adventure Trek & Beach Ride Tour (5 riding days)
C: Horse Riding Holiday Retreat Escape – Trek NSW Australia (7 riding days)
D: Weekend Horse Riding Getaway – Kerewong Based Tour (2-3 riding days)
Custom Horse Riding Treks & Tour - Please specify:
Preferred Tour Dates:
Arrival Date:
Departure Date:
Are your dates flexible? If yes please specify:
Rider Contact Information:
Name:
Address:
Town/State:
Country:
Email:
Phone:
Mobile (Travel Contact Number):
Rider Details:
Accompanying Traveller Details, if applicable:
Room Required: Single / Twin / Double
Dietary Requirements (vegetarian, allergies, food likes / dislikes):
O Female
O Male
Age:
Date Of Birth:
Height (in meters):
Weight (in kilograms)*:
* It is important that you give us your accurate weight, because of the size and
light frame of our Arabian horses, the pace of our rides and the partly steep
terrain. We plan our groups carefully according to the rider abilities and weight
so that is it suitable for the horses and more enjoyable for you!
Horse riding information:
How long have you been riding for and how frequently:
How frequently do you currently ride?
What type of horses have you ridden? (E.g. size, temperament, own horses,
school horses, trail horses, Arabian horses or other breeds):
Type of riding experience (e.g. riding school, trail riding/ hacking, competition,
dressage, jumping):
Have you ever received formal riding instruction? YES / NO
When did you receive formal riding instruction and for how long?
Have you been on other horse riding holidays / treks before? If yes, where?
What kind of horse do you enjoy or prefer riding?
Describe your horse riding experience in your own words:
Rider Ability Confirmation:
I confirm that I am physically fit and able to engage in horse riding and
handling and associated activities and that I have the following riding
experience (A & B marked below):
O Yes, I confirm the above statement
O No, I cannot confirm this
A) Hours of riding experience:
O Less then 50 hours riding experience
O Between 50 and 100 hours riding experience
O Between 100 and 200 hours riding experience
O Between 200 and 500 hours riding experience
O More then 500 hours riding experience
B) Level of riding experience:
O Beginner rider (limited experience)
O Novice rider (capable of mounting/ dismounting unassisted, applying basic
aids, comfortable and in control at the walk, moderate length rising trot and
short canters)
O Average or Intermediate rider (rider has a firm and balanced seat,
confident and in control at all paces including longer stretches of rising trots,
canters and fast canters/ gallops, capable to ride through more challenging
terrain that may include small jumps)
O Competent or Strong Intermediate rider (as above, with more experience
and riding regularly, confident with small jumps and comfortable in the saddle
for at least 4-5 hours a day
O Very Experienced or Advanced rider (all of the above, plus an
independent seat, soft hands and capable of handling a spirited horse in open
country)