Name *

First Name

Last Name

Mobile Phone *

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Clinic Options

The clinic and per lesson fees have been calculated to include the clinician's teaching fee, travel, accommodation and expenses & in consideration of the exchange rate (AUD/EURO). There are only SIX rider places available. Single lessons will be available if all Full Clinic spots are not taken. Spots are only confirmed upon deposit payment - first in, best dressed!

Full Clinic 3 days $780 (includes Lecture/Demo)

Single Lessons $260 (lecture/demo separate fee)

Lecture/Demonstration incl. clinic spectating on other days $60

Days attending

Thursday 12th November

Friday 13th November

Saturday 14th November

Lecture/Demonstration Sunday 15th November 9am - 1pm

I have read the terms and conditions *

Riders - On submission of this registration I agree to pay a $200 non-refundable deposit and to pay the balance due by the advised date to confirm my spot in the clinic. In the event that I am unable to attend I understand it is my responsibility to find a replacement rider and that cancellation after the final due date will result in forfeiture of the full clinic fee unless a replacement rider can be found. All - I understand that I will be required to sign an indemnity form as a condition of my registration. Riders - I understand I will be required to complete the clinician's Rider Contract and return it to Nicole Weinauge by email (Nicole@Weinauge.de) before the advised date. BANK ACCOUNT DETAILS P A Braithwaite BSB: 484799 Account number: 450608181 Ref eg. NW CLINIC (your name)

Yes - I have read and agreed to the terms and conditions

Deposit Paid

Yes