Rider Registration Form

Rider Registration Form

Oxmardyke Equestrian Centre
Contact Details
Name*

First NameLast Name
Email*
example@example.com
Address*

House Number/Name

Street

CityCounty

Post Code
Phone Number*
Date of Birth *

DayMonthYear
Date
Weight
Current weight limit for OEC Horses is 13 Stone
Height
Occupation
If over 18yrs
Have you (or the person you are signing for) ever suffered a serious injury whilst riding or been advised not to ride?*

YesNo
If yes, please give details:
Please detail ANY disability or medical conditions that may affect your ability to ride or which your instructor should be aware of or in case of emergency:*
Emergency Contacts

Emergency Contact Details
Emergency Contact Name:*
Relationship to Rider*
Contact Telephone Number:*
Emergency Contact No.2*
Relationship to Rider*
Contact Telephone Number:*
Riding Ability
I consider myself (or the person riding for who I am signing on behalf of as a minor) to be:*

Never Ridden BeforeBeginnerNoviceIntermediateAdvanced
How many times have you/the rider ridden in the last 12 months:*

NoneUnder 1212-4040+
What do you believe your (or the person you're signing for) riding capabilities to be on a horse or pony?*

Riding at WalkTrotting with StirrupsTrotting without StirrupsCanteringHackingRiding over Jumps up to 0.5mRiding over Jumps 0.75m+Riding over Cross Country Jumps
Horse Riders Code of Conduct
- I understand that riding at any standard has inherent risk and that all horses may react unpredictably on occasions and I may fall off and could be injured. I accept that risk.
- I understand that the riding school may refuse my request to ride for safety and operational reasons.
- 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 understand I should discuss any concerns I may have, including allocation of horse or instructor, with the centre.
- I understand that wearing a correctly secured riding hat, that meets current safety standards, may reduce the severity of an injury. I agree I will always wear the riding hat whilst riding, or on other occasions as requested by the Centre.
- I understand and agree to follow the centre’s rules on the wearing of 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
- I understand that children can be at particular risk around horses and agree that I will keep any I am responsible for, under close supervision when they are not being instructed by the centre.
Please tick all boxes to acknowledge statements and sign below:*

I confirm that to the best of my knowledge all of the above details are correct.I have read & understood the Horse Rider's Code of ConductI 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 confirm that to the best of my knowledge all of the above details are correct. A parent or guardian of riders under the age of 18 must sign this form.I acknowledge that RIDING IS A RISK SPORT AND HOLDS POTENTIAL DANGER, and that all horses may react unpredictably on occasions.DATA PROTECTION STATEMENT: Oxmardyke Equestrian Centre Ltd takes your privacy seriously and keep all information you provide to us completely confidential. In line with the requirements of the General Data Protection Regulations 2018; we have a responsibility to inform you of what data is stored, how we use it and how we protect it. We collect and store your email, address and contact details via the rider registration form that you have completed. This gives us your contact details (name, address, telephonenumbers, emergency contact details and email), personal details (d.o.b, age,weight & height) as well as information on your riding ability & any health information. We do not sell nor share this information, in whole or part, with any third-party organisation. We do not hold any financial information about you, e.g.credit or debit card, or bank account details. Some clients make regular payments by standing order which you, the client, oversee. You must be over 18 for your details to be added to our database, in the case of child taking a lesson the parents contact details will be taken.Information is stored electronically and in hard copy format. You have the right to have your data deleted at any time. We feel confident that your data is safe and secure and that we comply with the latest regulations
RIDERS UNDER 18YRS OF AGE: I accept full responsibility for this child and confirm that the above pre-assessed abilities are correct. I accept that the child I am signing for rides at his/her own risk.RIDERS AGED 18YRS AND OVER: I confirm that the above pre-assessed abilities are correct and I agree that I RIDE ENTIRELY AT MY OWN RISK.
Signature

Clear
Full Name*

First NameLast Name
Relationship to Rider if signing on behalf of rider under 18yrs of age:
Date*

MonthDayYear
Date
Photo Consent
We would like to inform you and request permission for you/your child’s photo and personally identifiable information to be published on Oxmardyke Equestrian Centre’s noticeboards, publications, website and social media pages. Personally, identifiable information will include mainly photos and may include your name/the name of your child.

As you are aware, there are potential dangers associated with the posting of personally identifiable information on a web site since global access to the internet does not allow us to control who may access such information. These dangers have always existed; however, we would like to celebrate you/your child and any riding achievements. The law requires that we ask for your permission to use photos and information about you/your child.

If you wish to withdraw your permission, you may do so at any time by contacting Rachel via email oecuk@outlook.com.
Please check one of the following options:*

I GRANT permission for my/this child's photos and name to be used on Oxmardyke Equestrian Centre's noticeboards, publications, website and social media pages. I understand that Oxmardyke Equestrian Centre will select photographs for publication with care and respect for those shown.I DO NOT GRANT permission for my/this child's name and photos to be used on Oxmardyke Equestrian Centre’s noticeboards, publications, website and social media pages.
Rider Name*

First NameLast Name
Signature

Clear
Print Name if Different from Rider Name:

First NameLast Name
Relationship to Rider if Signing on Behalf of a Child:
Date*

DayMonthYear
Date
Thank You
Should be Empty:

Rider Registration Form

Contact Details

Emergency Contacts

Riding Ability

Horse Riders Code of Conduct

Photo Consent

Thank You