Number of Riders
*
1
2
3
4
5
Private Safari
Name
*
First Name
Last Name
Birthday
*
MM
DD
YYYY
Email Address
*
Phone Number
*
Home Address
*
Height
*
Dietary Requirements
*
What is your favourite drink?
*
How many years have you been riding?
*
How frequently do you ride?
*
Do you own your own horse?
*
What kind of riding do you do? (E.g. pleasure, hunting, eventing, show jumping, dressage, racing, endurance, polo, etc.)
*
Are you able to mount & dismount unaided?
*
Are you confident at walk, trot, canter & gallop?
*
Are you fit enough to ride 6-8 hours per day and cope with long fast canters?
*
Do you have experience riding over rough terrain?
*
Would you say you can control a lively horse?
*
Would you like to participate in a live hunt?
*
Yes
No
Unsure
Name of Emergency Contact
*
Please list someone that is not on the ride with you
First Name
Last Name
Emergency Contact Phone Number
*
(###)
###
####
Do you suffer from any of the following?
*
Asthma, Epilepsy, Fits, Fainting, Dizziness, Blackouts, Migraine, Intellectual Disability, Heart Condition, Blood Condition, Back Problems, Pregnancy, Recent Injuries, Diabetes
Is it necessary for the rider to carry their own medication at all times?
*
Emergency phone number of medical insurance provider
*
Anything else we should know?
Terms & Conditions
*
By checking this box you confirm you have read the terms and conditions linked at the top of this page.
