[et_pb_section fb_built=”1″ _builder_version=”3.22.3″][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_contact_form _builder_version=”3.25.3″ z_index_tablet=”500″ title_text_shadow_horizontal_length_tablet=”0px” title_text_shadow_vertical_length_tablet=”0px” title_text_shadow_blur_strength_tablet=”1px” captcha_text_shadow_horizontal_length_tablet=”0px” captcha_text_shadow_vertical_length_tablet=”0px” captcha_text_shadow_blur_strength_tablet=”1px” form_field_text_shadow_horizontal_length_tablet=”0px” form_field_text_shadow_vertical_length_tablet=”0px” form_field_text_shadow_blur_strength_tablet=”1px” button_text_shadow_horizontal_length_tablet=”0px” button_text_shadow_vertical_length_tablet=”0px” button_text_shadow_blur_strength_tablet=”1px” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” box_shadow_horizontal_button_tablet=”0px” box_shadow_vertical_button_tablet=”0px” box_shadow_blur_button_tablet=”40px” box_shadow_spread_button_tablet=”0px” text_shadow_horizontal_length_tablet=”0px” text_shadow_vertical_length_tablet=”0px” text_shadow_blur_strength_tablet=”1px”][et_pb_contact_field field_id=”Are_you_checking_in” field_title=”Are you checking in…” field_type=”select” select_options=”%91{%22value%22:%22One Person%22,%22checked%22:0},{%22value%22:%22Couple%22,%22checked%22:0},{%22value%22:%22Family%22,%22checked%22:0},{%22value%22:%22Friends/Group%22,%22checked%22:0}%93″ _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”Weight” field_title=”Weight (kgs)” allowed_symbols=”numbers” _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”Rider_name” field_title=”Please enter in your full name” _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”hearabout” field_title=”Where did you hear about us?” field_type=”select” select_options=”%91{%22value%22:%22Brochure%22,%22checked%22:0},{%22value%22:%22Our website%22,%22checked%22:0},{%22value%22:%22Information Centre%22,%22checked%22:0},{%22value%22:%22Walked past%22,%22checked%22:0},{%22value%22:%22Recommended%22,%22checked%22:0},{%22value%22:%22Accommodation/Concierge%22,%22checked%22:0},{%22value%22:%22Internet search%22,%22checked%22:0},{%22value%22:%22Trip Advisor%22,%22checked%22:0},{%22value%22:%22Facebook%22,%22checked%22:0},{%22value%22:%22Other%22,%22checked%22:0}%93″ _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”birth_date” field_title=”Date of birth” _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”newslettersignup” field_title=”Would you like to be kept informed about our lessons and riding lessons?” field_type=”radio” radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0},{%22value%22:%22No%22,%22checked%22:0}%93″ _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”gender” field_title=”Gender” field_type=”radio” radio_options=”%91{%22value%22:%22Male%22,%22checked%22:0},{%22value%22:%22Female%22,%22checked%22:0}%93″ _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”discomfortinjury_2″ field_title=”Have you ever suffered serious injury or discomfort whilst riding?” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22No%22,%22checked%22:0},{%22value%22:%22Yes%22,%22checked%22:0}%93″ _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”address” field_title=”Address” field_type=”text” _builder_version=”3.25.3″][/et_pb_contact_field][et_pb_contact_field field_id=”discomfortinjury” field_title=”Please detail any disability or medical conditions that may affect your ability to ride or which your instructor should be aware of in case of emergency (e.g. Back problems, diabetes, epilepsy). 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