Rider Registration Form

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Rider Registration Form

CONFIDENTIAL – Please Complete ALL sections

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DECLARATION

I acknowledge THAT RIDING IS A RISK SPORT AND HOLDS POTENTIAL DANGER, and that all horses may react unpredictably on occasions.
I understand that I must follow the instructions of the ride escort or instructor and must comply with the Health and Safety requirements of the establishment.

GENERAL DATA PROTECTION REGULATION (GDPR): Statement:

I understand that the information I have given will be held in accordance with the GDPR but may also be made available to insurers and other concerned parties in the event of any injury or accident.
I agree to the Terms & Conditions of Patricia O'Reilly (Lunga Riding Stables). Copies available online.

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

Yes

Obligatorio

Date & Time of Ride Booked *

AAAA

Hora

First Name *

Surname *

Address and Postcode *

Telephone (Home)

Telephone (Mobile) *

Date of Birth *

AAAA

Age *

Weight *

Height *

Have you (or the person you are signing for) ever suffered a serious injury or discomfort while riding YES / NO If YES, please describe *

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)

Emergency Contact

*Please Note this cannot be someone who is also riding with you*

Contact Name and Relationship *

Tel: *

Riding Ability

I consider myself (or the person riding for who I am signing on behalf as a minor- under18) to be a: *

Never Ridden Before

Beginner (Comfortable at a walk)

Novice (Comfortable at walk, able to do rising trot without reins)

Intermediate Novice (Comfortable at walk, trot and able to canter without reins)

Intermediate (Comfortable at walk, trot, canter and go over a jump of 80cm)

Advanced (Rides as their profession.)

Obligatorio

Have you been on a horse in the last 6 months?

(Yes/No)

For YES How many Approx?

If signing on behalf of a minor(under18)/rider please state relationship to rider: *

For information and marketing purposes please indicate how you heard of us. *

Internet

Personal recommendation

Social Media

Otro:

Obligatorio

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)

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