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Cochran Horse Trek Rider Registration
If you have any questions about this, contact us on 0487 828 990 or info@cochranhorsetreks.com.au

If you are attending as a group, please complete this form for every person in your group.

You're required to pay a $250 deposit/ person to register for your Trek. Bank Details at the end of this form.
Email address *
Your name *
Your answer
Your address *
Your answer
Your best phone contract (mobile preferred) *
Your answer
Choose your trek *
About our prices
These prices include $5 adult ($2.50 for children) daily National Parks and Wildlife Service fee. Non-riders can attend, at our discretion and we charge less. Child and adult riders are the same cost because our horses eat the same amount regardless of who rides. Child riders must be over 8 years old.

We ask you to pay a non-refundable $250 deposit per person to secure your saddle seat. The balance is due 30 days before the trek. Our Terms and conditions are available on our website.
Canberra Airport Transfer $140 Return
Date of birth *
MM
/
DD
/
YYYY
Do you have allergies ? *
Required
Allergies description *
Your answer
What is your Height in cm? *
Your answer
What is your Weight in kg? *
Your answer
Dietary requirements *
Your answer
Do you have any medical conditions or disabilities that may affect your ability to ride? *
Your answer
Name of your next of kin *
Your answer
Phone contact for your next of kin *
Your answer
I understand that I will have to sign an Application to Ride on arrival *
Required
Have you ridden with us before? Please provide dates [dd/mm/yyyy] for all your rides with us....
Your answer
Your Previous Riding Experience *
Other comments?
Your answer
What Next? Please pay a deposit to secure your saddle seat.
We will be in contact with you soon to confirm your payment and ride details. We will also send you a packing list and the Ride Waivers. Our bank details

Cochran Horse Treks:

Bank: Service One Alliance Bank
Account number: 001121218
BSB: 801 009
BIC: CUSCAU2SXXX


Congratulations, you're one hoof beat closer to living the dream....
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