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Rider registration form
*To be filled out by over 18s ONLY*
Please make sure to click submit at the end of the form
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* Indicates required question
First name
*
Your answer
Surname
*
Your answer
Address
*
Your answer
Telephone
Your answer
Mobile
Your answer
Email
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Age (if under 18yrs)
Your answer
Occupation
Your answer
Date of first/next session
*
MM
/
DD
/
YYYY
Weight Must be weight fully clothed and with footwear on. Weight limit- beginners 11st / novice (confident in trot) 12 1/2st / experienced 13 1/2st
*
Your answer
Height
*
Your answer
Due to horse welfare, all new riders may be weighed on arrival to ensure the horses weight ratio is adhered to. All regular riders are subject to bi annual weigh ins or to re submit this form with up to date height/ weight.
*
I agree
Required
Have you (or the person you’re signing for) ever suffered a serious injury or discomfort whilst riding or been advised not to ride
*
No
Yes
If yes please describe
Your answer
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
Your answer
Emergency contact name and relationship
*
Your answer
Emergency contact number
*
Your answer
I consider myself (or the person I am signing for) to be a:
*
Never ridden before
Beginner (trot with support from saddle or neck strap)
Beginner plus (confident trot)
Novice (confident trot/ steady canter)
Intermediate (confident canter)
Advanced (fast canter/jump)
How many times have you/rider ridden in the last 12 months
*
None
Under 12
12-40
40+
What is yours or the persons riding previous experience on a horse or pony
*
No experience
Riding at a walk
Trotting with stirrups
Trotting without stirrups
Trot with support from saddle/ neck strap
Cantering
Riding over jumps up to 0.5m (18”)
Riding over jumps 0.75m (30”)
Riding over cross country jumps
Terms and conditions: -I confirm that to the best of my knowledge all of the above details are correct -I understands that riding at any standard has inherent risk that I may fall off and could be injured. I accept that risk and agree that the riding school will not be liable for injury or damage to property unless it is caused by their negligence. -I have read and understand the lesson booking and cancellation policy and agree to bide by it at all times (booking T’s&C’s can be found on website) -Data Protection Act 1998: Statement: I understand that information I have given will be held in accordance with the Data Protection Act 1998 but may also be made available to Insurers and other concerned parties in the event of any injury or accident
*
I agree
Required
Date
*
Your answer
I agree to all the above- Please print name
*
Your answer
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