Hippotherapy applications for infants 20th to 22nd June 2018, Prague - Course application form
This course is for participants only who has successfully completed course Hippotherapy application for toddlers.

Hippotherapy for infants - total price 570 EUR
50 EUR administrative fee paid due to submitting application form
520 EUR paid due 30th April 2018

Please send a money transfer to:
Fio Banka, a.s.
V Celnici 1028/10
117 21 Praha 1
Czech Republic

Account number - 2400489940
Bank identification number - 2010
IBAN: CZ5920100000002400489940
To the note for us, please write your "surname" and "Infants".
Sign in to Google to save your progress. Learn more
Surname, name *
Date and place of taking the course Hippotherapy applications for toddlers. *
Phone *
Please include the phone idetification number of your country
Email *
Date of payment of 50 EUR registration fee *
Please write the amount and date of bank transfer *
I have read and agree with the payment and cancellation policy. *
The Czech Therapeutic Riding Association (CHS) reserves the right to adjust program dates, times and lecturers to accommodate unforeseen circumstances; we will only notify advanced registrants of any program changes. CHS is not responsible for any expenses incurred by registrants due to such adjustments. CHS reserve the right to cancel a course due to insufficient enrolment or unforeseen circumstances up to 2 weeks prior to start of the course. The course fee including administrative fee will be returned to the participants´ bank account within 2 weeks. If a participant wishes to cancel; cancellation notices must be provided in writing from participants up to 2 weeks prior to the course start date to receive a refund minus a 50EUR administrative fee. No refunds will be given for cancellations received within two weeks prior to the start of the course.
If you have any request, please write it down.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Česká hiporehabilitační společnost. Report Abuse