Rider Registration and Waiver Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Riders’ Code of Conduct

• 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 riding hat and body protector may reduce the severity of an injury should an accident happen and agree that I will always wear a hat whilst riding or handling horses at the riding school. I agree that the instructor may check my equipment to ensure it is up to standard.

• I understand that the riding school will make decisions based on the information I give them and agree to always be honest and volunteer information about my abilities and experience, any previous riding accidents and any medical conditions that may affect my ability to ride.

• 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 choose 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.

• I acknowledge that I am increasing my risk of exposure to contagious illnesses, e.g., Covid-19, and do so at my own risk. I am aware the Centre has put preventative measures in place to reduce the spread of such illnesses and I agree to abide by all set procedures. I understand that the Centre cannot be held liable should I contract a contagious illness whilst attending the Centre.

• I am aware that Hitchmough’s Riding School has a Safeguarding Policy and appointed Centre Safeguarding Officer, Niall Buckley, who can be contacted via info@hitchmoughs.ie. Our Safeguarding Statement can be read in the office or online on at www.hitchmoughs.ie.

• I have read the Privacy Policy (available in the office and online at www.hitchmoughs.ie). I understand that I can at any time request a copy of all my personal data stored by the riding school and can at any point rescind permission for this data to be used by emailing the Data Protection Lead at ken.twomey@hitchmoughs.ie

• I am aware that Hitchmough’s Riding School has a Social Media Policy (available in the office and online at www.hitchmoughs.ie). I agree, as a ‘Persons Bound’ to abide by the information set out in this - I will not photograph or record images of any persons, property or animals without the prior consent of the person or owners of said property or animals, under no circumstances are images to be posted to public social media pages.

• Where I am signing on behalf of a minor, I have explained the Riders’ Code of Conduct to my child

Email *

Rider First Name *

Rider Surname *

Date of Birth *

YYYY

Height (required to provide you with a suitable horse/pony) *

Weight (required to provide you with a suitable horse/pony - please note in the interest of welfare we have a weight limit of 85kg) *

Address *

Main Contact Number *

Main email for correspondence (if different from above)

Do you/your child have any physical, mental, or developmental condition, disability or any other impairment that could reasonably be expected to impact your/their ability to safely ride and/or control a horse or pony? *

If you are unsure whether a condition, disability or impairment could impact their ability, please feel free to contact us to discuss. Please provide details below if necessary

Emergency Contact and relationship to rider: *

Emergency Contact Number *

Riding Ability (we will always assess our riders abilities when you first attend however this helps us designate a suitable lesson and horse for you) *

Complete beginner - you have never ridden or only a few times

Beginner - you have ridden a number of times and can independently ride in walk and trot

Novice - you can walk, trot and canter independently

Intermediate - you can walk, trot, canter and jump small fences up to 50cm

Advanced Intermediate - you can walk, trot, canter and jump a course of fences up to 80cm

Advanced - you have trained in some basic lateral work and have competition experience at 90cm+

How often have you been riding in the last 12 months - if it has been longer than a year since you have ridden, how many years? *

Do you understand that not disclosing a medical, physical, mental, or developmental condition, disability or any other impairment on this form removes any fault, indemnity or otherwise loss from Hitchmough’s Riding School Ltd., in the case of an accident or injury to the named person? *

Have you read through and agree to abide by the Riders’ Code of Conduct as described at the beginning of this form? *

Do you give consent for the given information to be stored and used by Hitchmough’s Riding School as set out in their Privacy Policy and in accordance with the Data Protection Act 2018. Please note if you do not give consent we will be unable to process your data and provide services to you. You can access our Privacy Policy through the following link: https://www.hitchmoughs.ie/privacy-policy *

Name of Client/Parent or Guardian of Child Client - please be aware that by giving your name here you take responsibility for the information provided *

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Hitchmough Riding School. Report Abuse

Forms