LUCK Student Application
Interested in joining us to learn about horses and all that they can teach us? Sign up to learn about horsemanship, riding, showing, careers in the horse world, and all about horses.

This form is for NEW students to LUCK.
First and Last Name of STUDENT(S) - List all children interested in participating per family. *
First and Last Name of EMERGENCY CONTACT: *
Relationship to Student *
Emergency Contact's Email *
Emergency Contact Home Phone *
Emergency Contact Cell Phone *
Student(s) Address(es) for transportation purposes: *
Student(s) Birth Date: *
Student Phone (if applicable):
Does the student have any known allergies? *
Does the student have any horse experience? List all relevant experiences. *
What is the student interested in learning about? *
Required
Legal Release
I hereby permit my minor child to shadow equestrian professionals at my own risk and subject to all of the rules and regulations of Leg Up for Cleveland’s Kids (LUCK). I further agree that if any damage or loss be occasioned or any loss of personal property, that I will make no claim against the LUCK, facility at which my child is participating or shadowing, chaperones, directors, employees, agents, sponsors, personnel or volunteers and hereby indemnify and hold them harmless for any personal injury, loss or property damage both while such minor child is traveling to and from the grounds and while on the grounds for the full duration of the program. I also consent to allow my minor child to have his/her photo taken and the image used in promotional materials for LUCK. Please indicate in writing below if you do not wish to have your minor child’s image used.

I, the legal guardian of the aforementioned potential or current LUCK student, hereby affirm that I understand that this Agreement is a release of all claims for injury, death or property damage and understand and consent to these terms on behalf of such minor child and agree to indemnify and hold harmless the LUCK and all of the parties listed above from any loss, liability or damage that may be incurred because of any defect in or lack of capacity to act on behalf of the minor child in executing this Agreement.
Photography Release *
Photos are used for marketing and social purposes by LUCK. We encourage the photography release to allow LUCK to reach more students with more photos!
Required
Confirm and Legally Agree to the Above Terms: *
This electronic signature is real and valid and will hold as true in all legal courts.
Submit
Never submit passwords through Google Forms.
This form was created inside of Leg Up for Cleveland's Kids.