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 last name *
Your mobile phone number *
Your email address *
Your residential address *
Name and number of an alternative contact person in an emergency: *
Name of horse(s)? *
Breed of horse(s)? *
Colour of horse(s)? *
Age of horse(s)? *
Breed registration, brands or microchip number? *
Gender of horse(s)? *
Type of stay *
History of horse *
Other relevant history, injuries, ailments of horse(s) *
Is your horse currently insured and with which company? *
Does your horse have any vices? *
If yes, please explain the vices, habits or behaviour *
Help during my stay (Price TBA-To Be Advised: depending on season & availability) inc GST
I will supply the feed and hay
Clear selection
Please describe the type and level of training your horse requires if at all:
Apologies for the list but in the interests of courtesy and everyone's welfare and safety, please check ALL the boxes. *
Any comments or requirements?
Anticipated date of arrival: *
Anticipated date of departure: *
Any specific information?
Any questions?
I authorise the proprietors of Euroa Horse Park to act in the best interests of my horse(s) *
In the event of illness or an accident, I consent to veterinary attention if required: *
In the event of a colic episode, I consent to surgery if 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 - *
I understand that payment is invoiced per calendar month and due in advance. I agree to pay 10% interest on any outstanding accounts. *
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 - *
Thank you. We look forward to having you and your horse stay with us.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy