Riding Camps
Enrollment form for new campers

Fields with * are obligatory.
Please put 'NO PROCEDE' into the obligatory fields that you are unable to fill in at this time.

Child information *Name and surname: Passport number: *Address: *Town: *County: *Postcode: *Date of Birth (D.O.B):

Parents Contact details *Name and surname: *Passport number: Telephone: *Mobile: *Other contact telephone numbers:
(Please write all the numbers where we will be able to contact you) *E-mail:

Complementary information: *How long have you been riding?: How many hours a week?: At what riding school?: Have you competed?: What type?: Do you have your own horse or pony?: are you going to bring it with you to La Gerencia?: *How did you know about La Gerencia Equestrian Center and its camps?: Illnesses, treatments or other things to keep on mind:
(This information is confidential. Please bring written down the instructions for use and dosage of any medicines) *I would like to enrol my child in the camps on the dates between
(Send a fax to +34.942.879923 or an e-mail to lagerencia@lagerencia.com with proof of payment of €450 and a photocopy of their passport). *I accept the terms and conditions of La Gerencia Equestrian Center, Mr. Ms:

It is important when you arrive to bring a signed copy of this form.

I accept the Terms and Conditions: *I have read and accept the terms and conditions.

Riding Camps Enrollment form for new campers

Riding Camps
Enrollment form for new campers