Susanna Hurley’s Adult Camp 2017
At MK Eventing Centre, Castlethorpe Road, Hanslope, Milton Keynes, MK19 7HQ (
Mon 15th – Weds 17th May 2017
***Weekday Camp***
Training with Susanna Hurley BHS Int (SM) Regd.
Name of Rider ……………………………………………………………………………………………………......
Address ………………………………………………………………………………………………………………......
DOB ……………………………………Email …………………………………………………………
Contact numbers inc mobile ………………………………………………………………………………......
Emergency contact name & numbers ………………………………………………......
Medical conditions/medicines taken …………………………………………………………………......
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You will be camping in (please give reg number of vehicle)…………………………………… ......
**Visitors are welcome at camp by prior agreement, please notify me in advance of any visitors**
Dietary requirements/allergies etc ……………………………………………………………………………………………………………..
Horse Name ………………………………………………….Horse Age ……………………………
All current vaccinations up to date YES / NO **only horses with current up to date vaccinations will be allowed on site**
Details of Horses Insurers (company & policy number)…………………………………..………………………...... …………
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**Horses will require a minimum of Third Party Insurance to attend camp, any queries regarding level of insurance, please feel free to contact me for verification, BHS Gold Members will have sufficient cover**
Level Horse working at on flat, at present, W&T, Prelim, Novice, Elementary - please include lateral work & anything you would like to improve……………………………………………………………………………......
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Height jumping at home and competing (please list both XC & SJ if differing heights), any areas need working on (ditches/grids/jump off lines/fillers/etc)…......
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Aims/Ambitions for horse (short term or long term)……………………………………………………......
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Any Equine Medical condition/previous injury/ops etc …………………………………………………......
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About your horse in general, any overall issues/quirks/fears/vices or ‘special needs’……………………………………….
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2nd Horses, please complete above details on a separate sheet
Cost of camp £230.00 inc stabling, camping, tuition
Cost of camp including Hay/haylage £240.00
**please indicate whether hay/ haylage on site is required by circling the price above**
An early bird saving of £10 is available for all bookings made prior to 28/2/17 with form and deposit received.
Please find enclosed my deposit of £120 to secure a place, balance (inc additional £10 hay) to be paid at camp. I agree that neither the organisers, Susanna Hurley or venue accept responsibility for any accident, injury, loss or illness to horse, rider, spectator or property while present at this event.
I confirm I have my own Public Liability/Third Party insurance or I am a BHS gold member.
Signed Date
Name in full
Form to be posted to; Miss S Hurley, 17 Crittall Court, Braintree Road, Witham, Essex, CM8 2GD
Transfer or cheque are accepted for deposit, cheques payable to ‘S Hurley Riding Instructor’, account details supplied upon request.