Thank you for your interest in horse riding with us! Please complete this form to the best of your ability. This information will help us tailor the perfect riding experience for you.
First Name
Last Name
Street Address
City
State/Province
Postal/Zip Code
Phone Number
Email Address
Date of Birth
Emergency Contact Name
Emergency Contact Phone
Have you ridden horses before?
If yes, how many years of experience do you have?
What type of riding experience do you have?
Beginner (never ridden or very little experience)
Intermediate (comfortable at walk, trot, and canter)
Advanced (experience jumping, dressage, or other specialized disciplines)
Pleasure Riding/Trail Riding
Western Riding
Western Riding
Other:
Have you taken riding lessons before?
If yes, where and for how long?
Are you currently riding regularly?
If yes, how often?
What is your primary riding goal? (e.g., learn to ride, improve skills, enjoy trail rides, compete, etc.)
What type of riding are you interested in?
Private Lessons
Group Lessons
Trail Rides
Arena Riding
Specific Discipline (e.g., Dressage, Jumping, Western Pleasure)
Please specify the specific discipline.
Days and times you are available for riding.
Are you interested in riding a specific breed of horse?
If yes, please specify.
Do you have any preferences regarding horse size or temperament? (e.g., quiet, energetic, large, small.)
Do you have any physical limitations or concerns we should be aware of?
If yes, please explain.
Horse riding is an inherently risky activity. Please answer the following questions honestly to help us assess your suitability and ensure your safety.
Are you in good physical health?
If no, please explain.
Do you have any medical conditions that could affect your ability to ride safely? (e.g., back problems, heart conditions, allergies, etc.)
If yes, please explain.
Are you pregnant?
Yes
No
N/A
Have you ever had any serious injuries, particularly related to falls or riding accidents?
Yes
No
If yes, please explain.
Are you comfortable around horses?
Yes
No
Are you afraid of heights?
Yes
No
Do you understand that horse riding involves risks, including the possibility of falls and injuries?
Yes
No
Have you read and understood our waiver and release form (provided separately)?
Yes
No
Note: Please ask for a copy if you have not received one.
Height
Weight
How did you hear about us?
Website
Social Media
Referral
Other:
Please tell us who referred you.
Thank you for completing this form. We will contact you shortly to discuss your riding options and schedule your first lesson or ride.
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