Buckle Up Bushrides Bookings Please fill out the form below Order Number Name * Email Address * Phone Number * Address * Address Line 2 City State / Province / Region Postal / Zip Code Country Ride Description and Date * Riding Experience * Experienced Intermediate No Experience / Beginner Age Under 18 19 - 40 41 - 60 60 + If under 18, how old? Approx Weight * Under 60kg 60kg - 75kg 75kg - 90kg Height * Have you ridden with us before? * Yes No If yes, name of horse ridden? How did you first hear about us? Friend Internet Website Facebook Return Guest Other Do you require transport from Mansfield? * Yes No Rides Weekend rides $660 Do you have any special dietary requirements? * Comments / Questions * If you would like to receive Buckle Up Bushrides updates please follow us on Facebook Please Note: * There is a 2nd form called CONFIDENTIAL RIDING APPLICATION AND MEDICAL HISTORY FORM also found under CONTACT US directly below this one. Your application is not complete until this is done.