Clinic Booking Form

To book a place on a clinic, please fill in the form below and give your consent regarding GDPR. Full payment will be required 10 days prior to the clinic date to secure your place.

Clinic Date*
DD slash MM slash YYYY
Clinic Location*
eg. Lincomb
Name*
First Last
Email*
Enter Email Confirm Email
Phone numbers*
Confirm phone numbers*
Next of Kin*
Next of Kin's Phone Number*
Allergies and Medical Conditions
Please list any allergies and medical conditions of which Marie Ryan should be aware.
If you have recently had a fall, head injury, other injury or surgery please provide dates and brief details below
Level / Experience*
Please provide a brief description of your experience and level of riding
Horse/s Level / Experience*
Horse/s Name/s*
Use commas to separate horses names if more than one.
GDPR Consent*
- I Consent
We need the data in the form in order to take your booking, but we need your consent to collect and store your submitted data to comply with the EU's General Data Protection Regulation which came into force 25th May 2018. If you don't consent, you will be unable to continue using this form.