BTSC Vaulting Indemnity & Waiver Form

BTSC Vaulting Indemnity & Waiver Form

Complete the form below to sign up for vaulting lessons at Bukit Timah Saddle Club.
Name

First NameLast Name
E-mail
Contact Number

Country codePhone Number
Local Address

Street Address

Street Address Line 2

Postal / Zip Code

Postal CodeNationality
Gender
Date of Birth

MonthDayYear
Height (cm)
Weight (kg)
Do you have any Riding Experience?
i.e. Yes/No; I can walk, trot, canter, etc.
Do you have any Vaulting Experience?
i.e. Yes/No; I can walk, trot, canter, etc.
How many Years of Riding Experience? Any Riding Qualifications?
E.g. BHS, Galop (French) etc.
How many Years of Vaulting Experience? Any Vaulting Qualifications?
E.g. BHS, Galop (French) etc.
BTSC Membership No., if applicable
Availability/ Comments
Emergency Contact
Name

First NameLast Name
Contact Number

Country CodePhone Number
Relationship:
Release of Liability; Waiver of Claims; Assumption of Risks and Indemnity

I acknowledge that equestrian vaulting is a distinct activity from regular riding and other equestrian activities conducted at Bukit Timah Saddle Club (“BTSC”). I understand and agree that vaulting may not be covered under BTSC’s standard riding liabilities or insurance, and I voluntarily choose to participate at my own risk.
Helmet Use

I acknowledge and agree that:

BTSC requires the wearing of approved safety helmets for other equestrian activities, including but not limited to riding lessons and training rides;
Vaulting is an exception, and helmet use during vaulting is optional and left to the participant’s discretion; The absence of a helmet requirement for vaulting shall not constitute negligence, breach of duty, or failure of care on the part of BTSC, BTSC Cares, or any of their employees, servants, committee members, officers, agents or representatives.

Assumption of Risk – Helmet Decision

I confirm that I have been informed of the risks associated with participating in vaulting with or without a helmet, and I voluntarily accept full responsibility for my decision regarding helmet use.

I expressly agree that my choice not to wear a helmet shall not give rise to any claim that BTSC was negligent, failed to enforce safety standards, or failed to protect my welfare.

Release of Liability for Vaulting Activities

I hereby release and discharge BTSC Cares, BTSC and/or any employee, servant, committee member, officer, agent or representative from any and all liability for injury, loss, damage or expense (including death) arising out of or in connection with my participation in vaulting activities, whether or not such injury is related to helmet use or the absence thereof.

This release applies to injuries arising from, without limitation:
- Falls during mounting, dismounting or vaulting movements;
- Loss of balance or impact with the horse, ground, or equipment;
- The movement, behaviour, reactions or unpredictability of the horse;
- The use of vaulting equipment, tack or facilities;
- Participation in vaulting on BTSC premises or at any external venue.
Indemnity

I agree to indemnify and hold harmless BTSC Cares, BTSC and their representatives from any claim, demand or action brought by me or by any third party arising from or related to my participation in vaulting activities, including claims alleging negligence arising from helmet use or non-use.

Confirmation & Binding Effect

I confirm that this Vaulting Activity Waiver is supplemental to and forms part of the BTSC Cares Indemnity & Waiver Form, which I have read and understood. In the event of any inconsistency, this Vaulting Activity Waiver shall prevail in relation to vaulting activities.

This agreement shall be binding on my heirs, next of kin, executors, administrators and representatives.
Privacy Policy

By submitting this form, you agree and consent to your personal data which you provide to Bukit Timah Saddle Club (“BTSC”) in this form being processed, collected, used, disclosed and/or retained by BTSC and its members, officers, employees, servants, agents, representatives and sub-contractors for (a) the purposes of administering the programme and in relation to your participation in the same, (b) promotional, marketing and publicity purposes relating to BTSC generally, (c) for BTSC’ conduct of research, analysis and development activities (including data analytics, surveys and/or profiling) to enhance BTSC’ programme offerings and operations, and (d) reference and archival purposes, in accordance with BTSC’ policies and processes relating to personal data protection.
I, hereby, agree that
We will contact you shortly to confirm your lesson/programme once we have received your application. Incomplete applications may cause delays.

Thank you!
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BTSC Vaulting Indemnity & Waiver Form

Emergency Contact

Release of Liability; Waiver of Claims; Assumption of Risks and Indemnity

Privacy Policy