DOGS MUST BE ON LEADS AT ALL TIMES.

Please only complete this form if it is your first visit to Great Westwood Equestrian Park.

NAME:                             ______________________________________ Title: _______

ADDRESS:                       ___________________________________________________

                                         ___________________________________________________

POSTCODE:                   ___________________________________________________

TELEPHONE:                  ____________________ MOBILE: _____________________

EMAIL ADDRESS:           __________________________________________________

DATE & TIME OF VISIT: _________________________________________________

I would like to take out a day permit for Great Westwood Equestrian Park. I have read and understand the GWEP Rules & Conditions (click here ) and I agree to observe them. I confirm that I have adequate Personal Injury and Third Party Liability Insurance for my horse/pony and will indemnify the owners of Great Westwood Equestrian Park against all claims, for which I could be held responsible, arising from my use of the tracks, gallops and jumps, or from any breach of my obligations contained in this application form and the GWEP Rules & Conditions. This form will apply for any future permits taken out by myself. 

DOGS MUST BE ON LEADS AT ALL TIMES.

 MY INSURANCE IS WITH (Insurance Company): _______________________________________

THIS INFORMATION MUST BE PROVIDED

Signed: __________________________________________________________________________
(Parent to sign if under 16)

I enclose my cheque for £16 or adults and £11 for children.

DOGS MUST BE ON LEADS AT ALL TIMES.

Please return to: Great Westwood Equestrian Park, Valley View, Cryers Hill Road, Cryers Hill, High Wycombe. HP15 6JS