Rider Registration Form

Full Name*

First NameLast Name

Email Address

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

City

Postcode

Date of Birth

Date

Emergency Contact Name*

First NameLast Name

Emergency Contact Number*

Please enter a valid phone number.

Emergency Contact Address*

Street Address

Street Address Line 2

City

Postcode

Please detail any disability or medical conditions that might affect your ability to ride. This may include, but not be limited to, any back problems, conditions which can affect balance or blackouts/loss of consciousness/fitting.

Do you take any routine medication?

YesNo

If you selected "Yes" to the question above, please detail here.

Have you ever suffered a serious injury?

YesNo

If you selected "Yes" to the question above, please detail here.

Riding Ability :

Training Intro/Prelim (Walk & Trot Equitation)Training Novice/Elementary (Novice, Inter B Equitation)Training Med/Adv Med or above(Inter A and Advanced Equitation)

Please detail your goals and what you would like support with this year in here.

I want to subscribe to the mailing list.

YesNo

The Horse 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 injure. I accept that risk.

• I understand that instructions are given for my safety and agree to follow instructions given to me.

• 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 riding hat while riding

• I understand it is my choice whether I wear a body protector

• I understand that my riding instructor 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 and any medical conditions which may affect my ability to ride.

• I understand that competing carries enhanced risk over and above general riding and agree that if I chose to participate in any competition or event, it is up to me to ensure that I have the experience and ability to undertake the ridden tasks 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 confirm that to the best of my knowledge all of the above details are correct. I have read the Horse Riders’ Code of Conduct, I understand that riding at any standard has inherent risk of injury. I accept that risk and agree that the Riding Instructor will not be liable for injury or damage to property unless it is caused by their negligence. Where signing on behalf of a minor I have explained the Riders’ Code of Conduct to my child and we both accept the risk and agree that the Riding Instructor will not be liable for injury or damage to property unless it is caused by their negligence.

Coaching Agreement:

• Cancelations within 48hrs for virtual sessions and 5 days of a clinic will NOT be refunded unless you can fill your space, subject to a vet or doctors cert.

• There are no roll overs/credits given for lessons if you cancel before 5 days of the clinic you will be refunded.

• In the event of a clinic having to be rescheduled and you can't make the new date you will be refunded.

• In the case of extreme weather conditions where it is deemed too dangerous to ride, it must be agreed between coach and rider to rearrange.

• Any session can be rearranged to be an unmounted session via zoom - should a virtual lesson need to be cancelled because of weather we will do a coaching call instead at the arranged time.

• Cancellations must be made via WhatsApp, phone call or email.

• Each rider must complete a Rider & Horse Registration form from 1st Jan 2025

• Please arrive/be ready in good time before your session, please be on and ready to ride for your time, already warmed up.

• If you for any reason you are running late please let me know via WhatsApp or phone call.

• Bookings can be made on Jane Randall Website and any queries via WhatsApp. I will always strive to reply to you within 48hrs.

• For clarity in communication - Questions and info can be answered on phone call, WhatsApp, text or email.

• When working with horses, timings do not always go to plan, so if I am for any reason, running late I will call or text you at my earliest convenience.

• If we are meeting at a hired venue (except Clinics) it is up to the rider to book it and pay the required hire fee with the venue.

• Should I be unable to attend a session I will let you know as soon as possible with no charge made.

• All riders under 16yrs old must be accompanied by an adult for the duration of the lesson.

At some clinics we have a photographer present. Photographs will be available for purchase. Please confirm permission for me to use for social media and website purposes.*

YesNo

I confirm that to the best of my knowledge all the above details are correct. I have read the Horse Riders’ Code of Conduct above and I understand that riding at any standard has inherent risk of injury. I accept that risk and agree that the Riding Instructor will not be liable for injury or damage to property unless it is caused by their negligence. Data Protection Act 2018: I understand that the information I have given will be held in accordance with the Data Protection Act 2018 but may also be made available to insurers and other concerned parties in the event of an injury or accident. The lawful basis for this is legal obligation.*

I confirm