Have you (or the person you are signing for) ever suffered a serious injury or discomfort while riding YES / NO If YES, please describe *
Your answer
Please detail ANY disability or medical condition that may affect your ability to ride or which your instructor should be made aware of in case of emergency:
(e.g. back problems, diabetes, asthma, heart condition, severe anxiety)
*
Your answer
Emergency Contact
*Please Note this cannot be someone who is also riding with you*
Contact Name and Relationship *
Your answer
Tel: *
Your answer
Riding Ability
I consider myself (or the person riding for who I am signing on behalf as a minor- under18) to be a: *
Required
Have you been on a horse in the last 6 months?
(Yes/No)
For YES How many Approx?
*
Your answer
If signing on behalf of a minor(under18)/rider please state relationship to rider: *
Your answer
For information and marketing purposes please indicate how you heard of us. *
Required
Anything else you would like to tell us that would be beneficial to your riding experience?
(e.g Good riding ability but has not ridden for years or
Wanting a slower paced ride or following a tight time schedule)