PLEASE RESERVE A PLACE FOR ME ON A ‘RIDE WITH YOUR MIND’ COURSE AT OVERDALE EQUESTRIAN CENTRE. (To download PDF Click Here)

Name
Address & Postcode
Telephone Email Address	Day Evening
Emergency Contact	Name Contact Number
About You	I Have Attended Previous Courses – NO / YES Had lessons with a RWYM coach – NO/YES
	If NO, how did you hear of these courses? FRIEND / BOOKS / DEMONSTRATION / MAGAZINE ARTICLE / INTERNET / INTELLIGENT HORSEMANSHIP / WHERE ?
	Age Group: Under 16 / 16 – 25 / 26 – 35 / 36 – 50 / 50+
Your Health	Do You Have Any Medical Conditions That May Affect Your Ability To Ride, Or That We Should Know About In Case Of Emergency? YES / NO Have You Ever Suffered Any Serious Injury Or Discomfort Whilst Riding? YES / NO IF YES, PLEASE DESCRIBE ON REVERSE OF FORM
Accommodation	Please arrange for me to stay with a local family, £17.50 cash per night (shared rooms, in walking distance, min 2 nights) – YES / NO, my 1st night will be _______ day, my last night ______day
Your Horse (Mounted courses only)	I will be bringing my own horse YES / NO – please provide a horse for me. Please use the reverse of this page to give us more details – If NO My Height ________ Weight _________ please indicate your experience on reverse. If YES please state size & type. Does he chew wood /crib/ kick doors/ escape /weave /bite ...etc? (or is he the kind of well behaved horse we most like to have around?!) I would prefer a small paddock to a stable if available (not guaranteed – numbers/ground conditions may make this impossible. Horses must respect electric fencing) – YES / NO
Your choice of 2^nd session (circle)	Supervised flatwork / extra dismounted session / pole work (4 day only) / jumping (4 day only)
COURSE	2 DAY MOUNTED	4 DAY MOUNTED	RIDING SIMULATOR	TEACHER TRAINING
1^ST CHOICE DATES
2^ND CHOICE DATES
Deposit payable to Mary Wanless	£175	£290	£100	£100

I enclose a deposit of £............. I understand that this is non-refundable, and will only be held over for a future course if a replacement is found for me. I will not hold Mary Wanless, the teaching team, or Overdale Equestrian Centre, responsible for any accident or illness which may arise in connection with this course. I acknowledge that riding is a risk sport, that participation may hold potential danger, and that all horses may react unpredictably on occasions. I understand that I must perform all procedures in the way I have been instructed, and that I may put myself at risk by not doing so. If I do not feel comfortable doing any procedure I have the right to refuse. I reserve the right not to ride a horse allocated to me, and to request a change of coach. I understand that riders are recommended to wear back protectors for jumping. I confirm that to the best of my knowledge all the above details are correct.

Signed......................................................................................... Date.............................................................

OPTIONAL EXTRAS - PLEASE TICK BOXES IF INTERESTED.

Extra lesson with Mary Wanless (ridden courses only) – on the Friday or Monday afternoon of arrival 45 min private £55, pairs for one hour £42. If we provide a horse add £8.00 per person. Simulator Weekends - mounted lesson with Karin Major on school horse on Monday am. Cost £35
Individual Simulator Lesson with Karin Major (RWYM Coach) – Cost £30 for 30 mins
Feldenkrais (Movement) lessons with Karin Major (RWYM Coach) – Cost £35 Through Functional Integration and Awareness Through Movement lessons you can learn to move in ways you may never have imagined possible – a great way to ease pain or improve your riding.	Taster
	Daily
Equine Sports Massage with Pennie Hooper – Cost £55 (special introductory price!) Pennie trained in equine therapy at the Jack Meagher Institute in the USA . Sessions last 40 minutes to 1 hour. The horses love them and benefit enormously. Pennie can give you a good read-out on the state of your horse’s muscle system, and some exercises/stretches to do with him.

Please return to: The Course Organiser, 1, Burtons Bank,

Church Westcote, Nr Chipping Norton, Oxon OX7 6SE. Tel: 01993 831193

RIDE WITH YOUR MIND COURSE BOOKING – OVERDALE EQUESTIAN CENTRE 2010

Please include medical information and details of your horse and/or your experience on the back of the form.

For availability please contact rwymadmin@hotmail.co.uk or call 01993 831193. If want to book a place on a school horse, we need information about your height, weight and experience before we can confirm availability.