RIDER REGISTRATION FORM FOR FERGUSHILL RIDING STABLES                                               Please copy, paste and print

Confidential – Please complete all sections below

First Name: ________________________________________ Surname: ____________________________________________

Address: _______________________________________________________________________________________________

___________________________________________________________ Postcode: ___________________________________

Tel: (home) ____________________________________________ Tel: (mobile) _______________________________________

Email: __________________________________________________________________________________________________

Date of Birth: ____________________ Age: ______ Weight: _______ Height: _______Occupation: _______________________

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

Yes No

If yes, please describe: __________________________________________________________________________________

Please detail any disability or medical conditions which we should know about. This may include but not be limited to any back problems and any conditions which can affect understanding of instructions, balance or cause blackouts/loss of consciousness/fitting and so on.

________________________________________________________________________________________________________________________________________________________________________________________________________________

Emergency contact

Contact name and relationship: ___________________________________________________ Tel: _______________________

Riding ability/declaration – please tick all that apply

I consider myself (or the minor I am signing for) to be a:

Complete beginner  Beginner Novice Intermediate Advanced

How many times have you ridden in the past 12 months? None Under 12 12-40 40+

What do you believe your or the rider’s capability to be on a horse or pony?

Riding at walk Trotting with stirrups Trotting without stirrups Cantering Hacking

Riding over jumps up to 0.5m (18”) Riding over jumps 0.75m (30”) Riding over cross country jumps

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

I have read the Horse Rider’s 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.

I have read and understand the lesson cancellation policy and agree to abide by it at all times.

I understand that my information will be kept in accordance with GDPR but may be made available to insurers and other concerned parties in the event of an accident.

Signature: ______________________________ Print name: ________________________________ Date: _________________

If signed on behalf of a minor:

Rider’s name: __________________________________________ Relationship to minor: ________________________________

To be completed by Instructor/Supervisor on behalf of the riding school

This client has been assessed and our judgement of their capabilities is as follows:

Complete beginner (lead rein/lunge) Beginner (beginning walk and trot independently)

Novice (walk, trot, canter independently) Intermediate (jumping, BHS Stage 1) Advanced (BHS Stage 2, equivalent and above)

Rider’s Name: ______________________________________

Assessment lesson content: Walk Trot Canter W/O stirrups  Jump Lateral

Horse used: ____________________________________ Lesson type: ______________________________________________

Date: _____________________________ Time: __________________

Signature: _____________________________________ Print Name: ______________________________ Date: ____________                                                                                                                                                                                                     PAGE 1

THE HORSE RIDER’S CODE OF CODUCT

 I understand that riding at any standard has inherent risk and that all horses may react unpredictably on occasions.

 I may fall off and could be injured. I accept that risk.

 I understand that instructions are given for my safety and agree to follow instructions given to me by staff and instructors at the riding school.

 I reserve the right not to ride a horse allocated to me and may request a change of instructor.

 I understand that wearing an appropriate hat and body protector may reduce the severity of an injury should an accident happen and agree that I will always wear a riding hat whilst riding, leading and grooming horses at the riding school. I understand that it is my choice whether or not to wear a body protector.

 I understand that the riding school will make decisions based on information I give them and agree to always be honest and volunteer information about:

 my abilities and riding experience

 any previous riding accidents

 any medical condition(s) which may affect my ability to ride

 any condition that may affect my understanding of instructions

 I understand that children are at particular risk around horses and agree that I will keep any children that I am responsible for, under close supervision when they are not being instructed by the riding school.

 I understand that the riding school may refuse my request to ride for safety and operational reasons.

 I understand that competing carries enhanced risk over and above general riding and agree that if I chose to participate in any competition or event, it is up to me to ensure that I have the experience and ability to ride the course including any jumps which form part of it. If I am in any doubt, I will use my judgement and experience and not enter.

Signed: ____________________________________ Date: ___________Print Name: ____________________________                                                                                                                                                                                                                   PAGE 2