Equilibrium Therapeutic Riding: Rider Application Form 2026

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Equilibrium Therapeutic Riding offers consistent, individualized and holistic programming. Therapeutic Riding encompasses collectively all horse-related activities for people with disabilities. Emphasis is put on learning functional riding skills for therapeutic purposes.

Application Process
The following application process MUST be completed prior to the student’s first ride:

Application form completed and submitted.
Additional medical forms completed and submitted (atlanto-axial verification for riders with Down's syndrome).
Acknowledgement of Risk Form read, signed and submitted.
Post-dated cheques submitted for the full riding session, dated for the first of every month & made payable to Equilibrium Therapeutic Riding. For individuals who rely on funding through an outside agency, the individualized payment plan must be clearly outlined by email to erin_mccormick@msn.com prior to the first lesson. Applications are only valid for one riding session and must be resubmitted each spring and fall in order to continue riding at Equilibrium Therapeutic Riding.

Attendance At Lessons
Equilibrium Therapeutic Riding offers consistent, individualized and holistic programming. In order to best serve individuals, lessons are offered on a weekly basis. Therapeutic gains, and success with any program for any individual, take time and commitment. Therefore, faithful attendance at the weekly riding lessons is absolutely required! A total of 2 absences/10 month riding session for any reason not discussed prior to acceptance into the riding program could lead to dismissal from the program and the student will not be permitted to ride at Equilibrium Therapeutic Riding for the remainder of the riding session. (Extenuating circumstances such as surgery/medical procedures will be taken into consideration.)

Regulations
Please check off each item to acknowledge that you have read and understand the above policies.
*

Should Equilibrium Therapeutic Riding cancel a lesson, as much notice as possible will be given and the lesson will be made up at a separate time or that lesson’s fees reimbursed, at the Head Riding Instructor’s discretion.

For riders taking private lessons: Should a rider fall ill or need to cancel a weekly lesson, 24 hour notice will be required in order for the lesson to be re-scheduled at a separate time or the fees reimbursed as the Head Riding Instructor deems appropriate.

For riders taking private lessons: If 24 hour notice is not given, the lesson will not be re-scheduled and the lesson fee will be forfeited to Equilibrium Therapeutic Riding.

For riders taking private lessons: Riders in private lessons are eligible for a maximum of 2 PLANNED OR UN-PLANNED absences in the 2 month July and August session. Abuse of this policy through frequent cancellations will result in termination of the student’s lessons.

For riders taking private lessons: Inquiring about rescheduling a planned missed lesson is encouraged for individuals in private lessons, and can be viewed on a case by case basis.

Payment: Riding applicants will receive a riding schedule (which is also available at the stables) to determine the dates and number of lessons each month. Use this schedule to determine any lessons you will miss. These planned absences must be communicated with Erin Moir prior to billing & payment at the start of the riding session in order to avoid paying for those lessons. You will be billed for any planned absences that have not been communicated prior to the beginning of the riding session.

Payment: Post-dated cheques must be submitted for the full riding session, dated for the first of every month & made payable to Equilibrium Therapeutic Riding.

Payment: Payments are made in 3 billing cycles: one is in September the 2nd is in February and the 3rd is in July. At time of registration, Equilibrium requires 5 equalized payment cheques for Sept-January (based on the invoice and riding schedule determined in September) and 5 equalized payment cheques for the second billing cycle of February- June, and 2 equalized payment cheques for July and August. Please note: E transfers on the first of each month are also accepted, but we please ask that you pay no later than the first of each month. A calendar and bills for the billing cycles will be emailed in January, June and August.

Payment: For individuals who rely on funding through an outside agency, the individualized payment plan must be clearly outlined by email to erin_mccormick@msn.com prior to the first lesson.

Payment: PLEASE NOTE that bounced cheques, discontinuation of funding, or failure to pay in any way, will result in discontinuation of lessons.

Payment: Annual registration fee of $25 +GST is due annually at the commencement of the rider's session.

Required Riding Dress Code: Each student is required to dress appropriate for riding. This includes all of the following: A properly fitting ASTM/SEI riding helmet (We have helmets for use however we recommend purchase of your own)

Required Riding Dress Code: Boots with a small heel

Required Riding Dress Code: Long pants to prevent chaffing against the saddle (even in summer!)

Required Riding Dress Code: Gloves in winter (gloves are preferred over mittens for better hand function & rein holding)

Required Riding Dress Code: Riding gloves highly recommend at all times of year

Required Riding Dress Code: Layers in winter (long johns are preferred over ski pants, and upper body layers that can be removed are beneficial should the rider get warmer during the lesson)

Required

If you are in agreement with the program requirements & regulations above, please proceed to the application form below. If you have any questions or concerns, please address them with Erin Moir prior to applying.

Basic Registration

1. Client Name *

2. Date of Application *

YYYY

3. Address *

4. City, Province *

5. Postal Code *

6. Email *

7. Phone (Home) *

8. Phone (Work)

9. Emergency Contact (Name, Phone) *

10. Saskatchewan Health Number *

11. Parent(s) or Guardian(s), if applicable

12. Parent's/Guardian's Address

(if different than Rider's address above)

13. City, Province

14. Postal Code

15.Parent's/Guardian's Email

16. Parent's/Guardian's Phone

17. Parent's/Guardian's Emergency Contact (Name, Phone)

Rider Details

18. Date of Birth *

YYYY

19. Age *

20. Height *

21. Weight *

22. Type of Lesson Requested (check all options that apply) *

A brief discussion with Erin is required in order to determine which options are best for you.

Therapeutic Lesson

General Public Lesson

Private Lesson

30 min Lesson

45 min Lesson

1 hr Lesson

Required

Returning Students

Note: If you are a new student, please skip to the next section.

23. Riding Time

My current riding time works for me. Please try to keep it the same for this year.

We have a potential conflict in scheduling and need to change our riding time. (Please indicate preferred times and days below and we will try to accommodate you.)

Clear selection

24. If you have answered that you have a potential conflict, what are your preferred times/days?

25. Are there any dates between July 7th, 2026 and August 27th, 2026 that you know you cannot attend your lessons?

26. How do you plan to complete this registration process and payment? *

IN PERSON at the farm with post-dated cheque

BY E-TRANSFER. Payment by e transfer is due on or before the 1st of each month. Failure to make timely payments will result in the removal of this payment option for you.

BY FUNDING THROUGH EXTERNAL AGENCY. Please ensure that this is communicated by email to erin_mccormick@msn.com. Should funding be reduced or removed, it is the responsibility of the family to bring the account up to date or the lessons will be immediately terminated.

28. Riding Time: 1st choice

29. Riding Time: 2nd choice

30. Riding Time: 3rd choice

Liability Release

I would like to participate in the Equilibrium Therapeutic Riding program.

I acknowledge the risks and potential for risk, of horseback riding. However, I feel that the possible benefits to myself / my son / my daughter / my ward are greater than the risk assumed.

I hereby, intending to be legally bound for myself, my heirs and assigns, executors or administrators, waive and release forever, all claims for damages against Equilibrium Therapeutic Riding, its owner, Instructors, Therapists, Aides and employees for any and all injuries and / or losses I / my son / my daughter / my ward may sustain while participating in Equilibrium Therapeutic Riding.

31. Signature *

Type your full name (rider over 18 yrs, parent or guardian).

32. Date *

YYYY

Photo Release

I hereby consent to and authorize the use and reproduction by Equilibrium Therapeutic Riding of any and all photographs and / or any other audiovisual materials taken of me / my son / my daughter / my ward, for promotional material, educational activities, exhibitions, or for any other use for the benefit of the program.

33. Signature *

Type your full name (rider over 18 yrs, parent or guardian).

34. Date *

YYYY

Authorize Consent for Release of Information to Equilibrium Therapeutic Riding Inc. from Other Therapists/Teachers/Facilities

I hereby authorize [ Person or Facility - please indicate below ] to release information from the records of the [ Rider - please indicate name below ]. The information is to be released to Equilibrium Therapeutic Riding for the purpose of developing a Therapeutic Riding Program for the above-named client. The information to be released is detailed below.

35. Authorized Person or Facility *

(Note: Please type N/A if this is not applicable to you.)

36. Rider's Name *

(Note: Please type N/A if this is not applicable to you.)

37. Information To Be Released (check all options that apply) *

Please send the indicated material to: Equilibrium Therapeutic Riding, c/o Erin Moir, Box 517 Osler, SK S0K 3A0

Medical history

Physiotherapy evaluation, assessment and program plan

Occupational therapy evaluation, assessment and program plan

Speech therapy evaluation, assessment and program plan

Classroom Individualized Education Plan (I.E.P)

Not applicable

Other:

Required

38. Signature *

Type your full name (rider over 18 yrs, parent or guardian).

39. Date *

YYYY

Information Release

I hereby authorize Equilibrium Therapeutic Riding to release to its instructors and staff, such information as may be necessary to a beneficial and safe riding program.

40. Rider's Name *

41. Signature *

Type your full name (rider over 18 yrs, parent or guardian).

42. Relation to Rider (if applicable)

43. Date *

YYYY

Submit

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