Rider Registration Form

Rider Registration Form

The British Horse Society
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date Of Birth*

MonthDayYear
Height*
CM
Weight*
LB's
Have you ever suffered a serious injury whilst riding, or been advised not to ride? Yes/No? If yes please give details:*
Please detail any disability or medical conditions that may affect your ability to ride. This may include but not be limited to any back problems and any conditions, which can affect balance or cause blackouts/loss of consciousness/fitting:*
Emergency Contact No. 1
Relationship to rider:*
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Emergency Contact No. 2
Relationship to rider:*
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Rider Declaration
I consider myself to be:

Never ridden beforeBeginnerNoviceIntermediateAdvanced
How many times have you/rider ridden in the past 12 months? *
What do you believe your capability to be on a horse or pony?*

Riding at walkTrotting with stirrupsTrotting without stirrupsCanteringHacking
Riding over jumps (Specify height)*
Riding over cross-country jumps (Specify height)*
Horse Riders Code of Conduct
Please check all boxes to confirm*

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 reasonsI 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 rideI 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.
I confirm in 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 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. Where I am 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 school will not be liable for injury or damage to property unless it is caused by their negligence. I have read and understand the lesson booking and cancellation policy, and agree to abide by it at all times.
Name*

First NameLast Name
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Name of Guardian If Rider Is Under 18

First NameLast Name
Signature

Powered by Jotform SignClear
Relationship To Rider:
Data Protection Statement: GDPR & Data Privacy Statement

By completing this form, you consent to Pathhead Farm collecting and securely storing your personal information for the purposes of managing riding lessons and related communications.

We only collect the data necessary to provide a safe and personalised riding experience. Your information will never be shared with third parties for marketing purposes and will be kept in accordance with UK GDPR guidelines.

You have the right to access, update, or request deletion of your data at any time. To do so, please contact us at equestrian@pathheadfarm.co.uk
Should be Empty: