Booking Form & Agreement
Agistment facilities are available on a short or long term basis at Euroa Horse Park Pty Ltd (PIC No, 3 SBLS 488), please let us know how we can help you best.
Your first name *
Your answer
Your last name *
Your answer
Your mobile phone number *
Your answer
Your email address *
Your answer
Your residential address *
Your answer
Name and number of an alternative contact person in an emergency: *
Your answer
Name of horse(s)? *
Your answer
Breed of horse(s)? *
Your answer
Colour of horse(s)? *
Your answer
Age of horse(s)? *
Your answer
Breed registration, brands or microchip number? *
Your answer
Gender of horse(s)? *
Required
Type of stay *
History of horse *
Required
Other relevant history, injuries, ailments of horse(s) *
Your answer
Is your horse currently insured and with which company? *
Your answer
Does your horse have any vices? *
If yes, please explain the vices, habits or behaviour *
Your answer
Help during my stay (Price TBA-To Be Advised: depending on season & availability) inc GST
I will supply the feed and hay
Please describe the type and level of training your horse requires if at all:
Your answer
Apologies for the list but in the interests of courtesy and everyone's welfare and safety, please check ALL the boxes. *
Required
Any comments or requirements?
Your answer
Anticipated date of arrival: *
Your answer
Anticipated date of departure: *
Your answer
Any specific information?
Your answer
Any questions?
Your answer
I authorise the proprietors of Euroa Horse Park to act in the best interests of my horse(s) *
Required
In the event of illness or an accident, I consent to veterinary attention if required: *
Required
In the event of a colic episode, I consent to surgery if required: *
Required
I, the above named person, am the legal owner / lessor of the above name horse; I provide the above information as true and correct; that my horse is in a sound, healthy condition and free from vices, disease and infection; I am over 18 years of age: I have read and agree to the Euroa Horse Park Pty Ltd Terms and Conditions on 'The Rules' page of the website - www.euroaagistmentcentre.com.au *
Required
I understand that payment is invoiced per calendar month and due in advance. I agree to pay 10% interest on any outstanding accounts. *
Required
If you plan to be riding your horse on the property, then you need to complete the Visitor Sheet and Disclaimer. The link is on the website - www.euroahorsepark.com.au *
Your answer
Thank you. We look forward to having you and your horse stay with us.
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