Rider Assessment

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Rider Assessment

Please complete to the best of your knowledge

Name *

Contact Details *

Emergency Contact *

Have you ever suffered a serious injury or discomfort whilst riding or been advised not to ride *

Yes

Other:

If yes please describe and advise of current condition

Please advise of any medical condition which may affect your ability to ride *

Please declare the riding ability you currently believe yourself to be e.g Preferred discipline, current level, previous level *

Please declare riding capability on the horse you are signing up with *

I confirm that to the best of my knowledge the details I have provided are correct. I understand that riding of any standard carries inherent risk that I may fall and could be injured. I accept that risk and agree that EPT COACHING will not be liable for any damage to property unless it is caused by their negligence. I understand that wearing appropriate riding hat and body protector may reduce the risk of severe injury should an accident happen and agree that I will always wear a riding hat whilst riding under supervision from EPT COACHING. I understand that it is my choice to wear a body protector. I understand that competing carries enhanced risk above leisure riding and agree that if i chose to participate in any event, it is up to me to ensure that I have the experience and ability to ride at the level of the competition. I understand that EPT COACHING may refuse my request to ride for safety and operational reasons. I understand that the 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 accident or injury *

I agree

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