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) BeginnerNoviceIntermediateAdvanced How Many times have you or the rider ridden in the last 12 months?: (required) NoneUnder 1212-4040+ What do you believe you or the riders capability on a horse or pony to be?: (required) Riding at walkTrotting with StirrupsCanteringHackingRiding over jumps up to 0.5mRiding 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. 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. [signature* signature-800 background:#662d91] Print Name (required) Print Todays Date (required) Are You Human? Terms and Conditions We want you to know how our service works and why and how we handle your data. Please state that you have read and agreed to these terms and conditions. I Agree to the Terms and Conditions Terms and Conditions Please leave this field empty. Contact Permission Occasionally we would like to send newsletters and offers and the latest info from Woodredon Equine Centre by Email, post, SMS and other electronic means. We take your privacy very seriously and will only use your personal information to administer your account and to provide the services you have requested from us. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you. PostEmailTelephoneSMS By using this form you agree with the storage and handling of your data by this website.