KUKUTANA RIDER FORM

Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Do you own your own horse? *

Yes

No

Are you able to mount & dismount unaided? *

Yes

No

Are you confident at walk, trot, canter & gallop? *

Yes

No

Are you fit enough to ride 6-8 hours per day and cope with long fast canters? *

Yes

No

Do you have experience riding over rough terrain? *

Yes

No

Would you say you can control a lively horse? *

Yes

No

Name of Emergency Contact *

Please list someone that is not on the ride with you

First Name

Last Name

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Terms & Conditions *

By checking this box you confirm you have read the terms and conditions linked at the top of this page.

Yes