Which safari are you interested in?
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Number of Riders
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1
2
3
4
5
Private Safari
Name
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First Name
Last Name
Birthday
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MM
DD
YYYY
Email Address
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Phone Number
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Home Address
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Height
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Dietary Requirements
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What is your favourite drink?
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How many years have you been riding?
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How frequently do you ride?
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Do you own your own horse?
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What kind of riding do you do? (E.g. pleasure, hunting, eventing, show jumping, dressage, racing, endurance, polo, etc.)
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Are you able to mount & dismount unaided?
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Would you be willing to tack up your own horse?
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Yes
No
Are you confident at walk, trot, canter & gallop?
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Are you fit enough to ride 6-8 hours per day and cope with long fast canters?
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Do you have experience riding over rough terrain?
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Would you say you can control a lively horse?
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Name of Emergency Contact
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Please list someone that is not on the ride with you
First Name
Last Name
Emergency Contact Phone Number
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(###)
###
####
Do you suffer from any of the following?
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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?
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Emergency phone number of medical insurance provider
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Anything else we should know?
Terms & Conditions
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By checking this box you confirm you have read the terms and conditions linked at the top of this page.
