FORM REGISTRATION ON EQUESTRIAN TRAINING

HREBCIN MLEKOJEDY - Staj Kamila Horaka
Hlavni 10, 277 11 Neratovice-Mlekojedy
Tel. +420 602 34 66 82, Fax +420 315 68 60 84
E-mail: hippo@jinak.cz

First name and surname:
Date of Birth:
Email:		Fax:
Home Address:		Telephone:

herewith register for equestrian training at range of:	Beginners/15 hours	Single settlement of CZK 3 600.00
	Beginners/15 hours	Two instalments of CZK 3 750.00
	Advanced/10 hours	Total settlement of CZK 2 600.00

Reimbursement	Bank Payment Order	By payment order in favour of A/C Number 415948-231/0100 held with Komercni Banka a.s., Branch Ceske Budejovice
will be done by:	In cash upon the registration

I herewith declare that I am fully aware of horse-riding as a risky sport. Therefore, for the sake of myself, I will conclude an insurance policy and, prior to starting equestrian training, I will submit affirmation about vaccination against tetanus.

You can download this Registration form in format MS Word document and send it to us.