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SEND TO  KEY INSTITUTE, CARROWMORE, SLIGO,  IRELAND.

Tel :00-353-87-2304828. FAX 00-353-71-9162028.
E-MAIL. This e-mail address is being protected from spambots. You need JavaScript enabled to view it

PARTICIPANT
Name :________________________Surname_______________________

Date of birth______________Sex___________Nationality_____________

Parents :
Name :________________________________________________________

Address :______________________________________________________

Postal Code_____________City__________________________________

Tél.(Home) :__________________________

E-mail_______________________________________________________

Father’s Profession _______________Tél.(Office)_____________________

Mother’s Profession ______________Tel.(Office)_______________________

Mobile Tel____________________Fax_______________________________

Date of Holiday ; From ________To____________________

Accomodation; Host Family_________ In Key Institute______________
Equitation & English course__________ Intensive Jumping course_______

Flight Details; Arrival__________________ Departure___________________

English Level:__________Very Good. _____Good._____Fair______Beginner.

Riding Level and Experience

Parental autorisation for minors.
I, the undersigned_________________________accept the conditions of the Key Institute and hereby authorise them to take whatever steps they deem neccessary in a medical emergency.

signed : __________________________________