Adult Registration
Please complete both of the following sections below.
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Email *
Full Name (First & Last) *
Date of Birth *
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Age *
Gender *
Approximate Height (Ft & inches) *
Approximate Weight (Lbs) *
Contact Information
Address *
City *
Province *
Postal Code *
Phone Number (Please include extension if applicable) *
Please select the option which best applies to the phone number listed above: *
Emergency Contact Information
Who is the best person to contact in case of emergency?
Name *
Relation to the Rider *
Phone Number *
Medical Information
Please answer the following questions to the best of your knowledge. If you answer yes to any of the questions, please provide a brief explanation.
Do you suffer from allergies? *
Are you undergoing any medical treatments? *
Health or behavioural conditions that we should be aware of? *
Do you carry any medications? *
Please provide any other additional health related information which may be important for us to be aware of. *
Lesson Registration Level
Riding Level *
Provide any notes pertaining to previous riding experience. *
Preferred Lesson Format.
Clear selection
What is your preferred day of the week you would like to ride?
Preferred Time of day (Please note that lessons Monday through Friday begin at 12pm)
Please provide any additional notes about your registration.
WE Farms Inc. O/B Amanda Forbes O/A Whitchurch Equestrian Risk Awareness Form - Adult 
(must be completed before riding with WE Farms Inc. O/B Amanda Forbes O/A Whitchurch Equestrian)

THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS AND LIABILITIES. PLEASE READ CAREFULLY.
AGREEMENT FOR ACCEPTANCE OF RISK AND WAIVER OF LIABILITY.

I REQUEST PERMISSION TO PARTICIPATE IN HORSEBACK RIDING AND OTHER EQUESTRIAN RELATED ACTIVITIES ORGANIZED AND OPERATED BY WE FARMS INC. O/B AMANDA FORBES O/A WHITCHURCH EQUESTRIAN.

I FULLY UNDERSTAND THAT HORSEBACK RIDING, HANDLING AND GROOMING OF HORSES, AND OTHER STABLE ACTIVITIES, ARE VERY DANGEROUS.

COVID-19: WE FARMS INC. O/B AMANDA FORBES O/A WHITCHURCH EQUESTRIAN AND ITS EMPLOYEES WILL NOT BE LIABLE FOR CONTRACTION OF COVID-19, OR ANY ILLNESS ARISING FROM PARTICIPATION IN THE SPORT OR ATTENDING THE FACILITY, AND THE SIGNING PARTY IS GIVING UP THEIR LEGAL RIGHT TO ANY AND ALL FUTURE CLAIMS.

I ACKNOWLEDGE THAT IF I DO NOT FOLLOW THE RECOMMENDATION OF THE STAFF OF  WE FARMS INC. O/B AMANDA FORBES O/A WHITCHURCH EQUESTRIAN AND CONTINUE TO USE A NON-APPROVED HELMET, I UNDERSTAND AND TAKE FULL RESPONSIBILITY OF THE RISK.  I ACKNOWLEDGE THAT WE FARMS INC. O/B AMANDA FORBES O/A WHITCHURCH EQUESTRIAN IS NOT COMFORTABLE WITH RIDERS WEARING NON-APPROVED OR EXPIRED HELMETS, WE FARMS INC. O/B AMANDA FORBES O/A WHITCHURCH EQUESTRIAN HAS THE RIGHT TO REFUSE PARTICIPATION IN ALL RIDING AND HORSE RELATED ACTIVITIES WITHOUT REFUND.

I ACCEPT AND ASSUME ALL RISK OF INJURY (INCLUDING DEATH) TO ME OR MY PROPERTY.

IN EXCHANGE FOR BEING PERMITTED TO PARTICIPATE IN THESE ACTIVITIES, FOR MYSELF, MY HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES, I RELEASE AND AGREE NOT TO MAKE ANY CLAIMS OF ANY KIND AGAINST WE FARMS INC. O/B AMANDA FORBES O/A WHITCHURCH EQUESTRIAN, OR OFFICIALS, SERVANTS, EMPLOYEES, REPRESENTATIVES, OFFICERS, AND DIRECTORS, FOR ANY INJURY (INCLUDING DEATH), TO ME, OR ANY DAMAGES TO MY PROPERTY, ARISING OUT OF MY PARTICIPATION IN THESE DANGEROUS HORSEBACK RIDING OR RELATED ACTIVITIES.
Time
:
Name of Signee. *By typing my name below, this will be acknowledged as my signature. *
Date *
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Do you agree to the terms and conditions outlined in the above AGREEMENT FOR ACCEPTANCE OF RISK AND WAIVER OF LIABILITY? *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Whitchurch Riding Academy.