Naturally Equisavvy Solutions Lesson Registration Form 2026

YOUTH PARTICIPANT SECTION
PARENT or GUARDIAN NAME of YOUTH PARTICIPANT*

First NameLast Name
PARENT or GUARDIAN PHONE NUMBER*
Please enter a valid phone number.Format: (000) 000-0000.
PARENT or GUARDIAN EMAIL ADDRESS*
example@example.com
ParentGuardianOther
Proof of Legal Guardianship Document, is required if Guardian is authorizing person for a YOUTH participant.

Cancelof
Yes, I have current Island Horse Council InsuranceYes, I have another province current insurance policyNo, I do not have insurance but I will purchase it and provide proof of purchase before my lessonI choose NOT TO PURCHASE this recommended insurance and I release Naturally Equisavvy Solutions, their staff/associates and organizers from liability for any injury, death, or property damage resulting from my participation, including due to their ordinary negligence. *NOTE: Full release details included below.
If your insurance is not Island Horse Council, Please specify what province and what type of policy.
Proof of Insurance (Island Horse Council or other Province Insurance) Membership # (enter n/a if you currently don't have insurance)*
Please describe any previous equine experience you have.*
What are your expectations and goals as a participant?*
CONCUSSION AWARENESS INFORMATION
I will read, understand and agree with the Concussion Awareness Information. Download available.
Yes, I agree with the Concussion Awareness InformationI request clarification on Concussion Awareness and will email nes.naturally@gmail.com
NATURALLY EQUISAVVY SOLUTIONS WAIVER INFORMATION

Every Person must Read and Understand the following statements before Participating in Equine Activities. NATURALLY EQUISAVVY SOLUTIONS & Julia Smith, their directors, employees, officers, volunteers, business operators, and site property owners (all of them collectively called the HOST). By placing a check mark below, I attest that I have read each statement and I understand it. I know that checking these statements, waives certain legal rights I or my “Legal Representatives” might have against the “HOST”.
I will be respectful to all participants, organizers and all people in attendanceI will speak quietly to other attendeess, so I do not cause distractionsI will think before I act so that I will not disturb the participants or their equinesI will have an open mind to new concepts, be positive and have fun!I will follow the safety guidelines set out by Naturally Equisavvy Solutions and the host facilityI will push my comfort zone but I will speak out if I am too uncomfortableI agree to pay the specified fees, on time and I understand that there are additional fees if I do not pay on time
General Waiver Information

Every Person must Read and Understand the following statements before Participating in Equine Activities. NATURALLY EQUISAVVY SOLUTIONS & Julia Smith, their directors, employees, officers, volunteers, business operators, and site property owners. (all of them collectively called the HOST).By placing a check mark below, I attest that I have read each statement and I understand it. I know that checking these statements, waives certain legal rights I or my “Legal Representatives” might have against the “HOST”.
1) I Understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and injuries resulting from these “RISKS” are a common occurrence.2) I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to:• The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people, or objects.• The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.• The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine.3) I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal injury, death, property damage or loss resulting from my Participation in Equine Activities.4) I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own safety and to Participate Within My Own Limits.5) In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree :• To Waive All Claims that I might have against the “HOST”; and• To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and• To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.• I acknowledge that I HAVE INFORMED MYSELF OF ALL RELEVANT RISKS.• I acknowledge that there may be RULES and REGULATIONS applicable to the sport or activity I wish to participate in, and that they are designed for enhancement of safety and protection of myself and other participants. I have informed myself of whether such RULES and REGULATIONS EXIST, AND IF THEY DO I undertake to abide by them.
CANCELLATION / RESCHEDULING POLICY
At Naturally Equisavvy Solutions, every appointment is reserved especially for you and your horse. As a small business, appointment times are limited and often in high demand.

When a booking is cancelled without adequate notice, it can mean another client misses the opportunity to schedule that time.

I completely understand that life happens and unexpected situations arise. This policy is simply in place to help keep the schedule running smoothly and to support the sustainability of this small business.

Cancellation & Rescheduling Guidelines:
- 48 hours notice or more – No charge. - Your appointment can be cancelled or rescheduled at no cost.
- Less than 48 hours notice – A cancellation fee of 1/2 your lesson cost +HST will apply.
- Same-day cancellations or missed appointments – The full session fee +HST will be required before future bookings can be made.
This policy is not personal; it is simply part of the agreement when scheduling an appointment and helps ensure fairness for all clients who are waiting for available times.

Your understanding and support allow Naturally Equisavvy Solutions to continue providing quality instruction and services while keeping pricing accessible for everyone who wants to learn and grow with their horses.

If NES cancels a session due to unforeseen circumstances, the session will be made up in the near future. No refunds will be issued.

Thank you for your understanding and continued support. I look forward to building a positive future together — naturally.
Yes
As the Youth Authorizing Person, I have read, understand and agree with this Naturally Equisavvy Solutions Lesson Registration form. I grant my permission for the aforenamed Youth to participate in Naturally Equisavvy Solutions lesson program.
Yes
SIGNATURE - print Name of Authorizing Youth Person OR Adult Participant*
Signature of Authorizing Youth Person OR Adult Participant*

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Naturally Equisavvy Solutions Lesson Registration Form

WHY ARE YOU BEING ASKED FOR YOUR HEALTH CARD & PERSONAL MEDICAL INFORMATION?

YOUTH PARTICIPANT SECTION

CONCUSSION AWARENESS INFORMATION

NATURALLY EQUISAVVY SOLUTIONS WAIVER INFORMATION

General Waiver Information

CANCELLATION / RESCHEDULING POLICY

As the Youth Authorizing Person, I have read, understand and agree with this Naturally Equisavvy Solutions Lesson Registration form. I grant my permission for the aforenamed Youth to participate in Naturally Equisavvy Solutions lesson program.