Have you, or the rider you are signing for, ever suffered a serious injury or discomfort while riding or been advised not to ride?
YesNo

Please detail any disability or medical conditions that may affect your ability to ride. This may include but not be limited to any back problems and any condition, which can affect balance or cause blackouts/loss of consciousness/fitting etc

Emergency Contact

Riding Ability / Declaration

I consider myself (or the person riding for who I am signing on behalf of as a minor) to be a:
Complete BeginnerBeginnerNoviceIntermediateAdvanced

How many times have you or the rider ridden in the last 12 months?
NoneUnder 1212-4040+

What do you believe your or the rider’s capability on a horse or pony to be?
Riding at a walkTrotting with stirrupsTrotting without stirrupsCanteringHackingRiding over jumps up to 0.5M (18”)Riding over jumps up to 0.75M (30”)Riding over cross country jumps

I confirm that to the best of my knowledge all the above details are correct.

I have read the Horse Riders’ Code of Conduct overleaf. I understand 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.

Where I am signing on behalf of a minor I have explained the Riders’ Code of Conduct to my child and we both accept the 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.

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.

If signed on behalf of a minor:

I agree

Submit Rider Registration