First Name (required)

Last Name (required)

Your Address

Your Telephone

Your Mobile

Your Email

Your Date of Birth

Your Age

Your Height

Your Weight

Your Occupation

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

If Yes to the above please give details here:

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

Parent / Guardian / Emergency Contact Name and Relationship (required)

Parent / Guardian / Emergency Contact Number

I consider myself (or the person riding for who i am sigining for as a minor) to be a: (required)

How Many times have you or the rider ridden in the last 12 months?: (required)

What do you believe you or the riders capability on a horse or pony to be?: (required)

I confirm that to the best of my knowledge all the above details are correct.
I have read the horse riders code of conduct.
I unrderstand that riding at any standard has inherent risk that i may fall off and could be injured.
I accept that risk and agree and the riding school will not be liable for injury or damae to property unless it is caused by theor negligence.
Where i and 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 no be liable for injury or damage to property unless it is caused by their negligence.
I have read and understood the lesson booking and cancellation policy and agree to abide by it at all times.
I accept and understand that the information I have given will be held in accordance with GDPR Regulations and may be shared with our insurers and other concerned parties in the event of injury or accident.
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Terms and Conditions

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Contact Permission
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