Thank you for your interest in our horse riding program! To ensure we provide you with the best experience, please fill out the following form. This will help us assess your suitability for the activity and tailor our services to your needs.
First Name
Last Name
Date of Birth
Gender
Phone Number
Email Address
Street Address
City
State/Province
Postal/Zip Code
Emergency Contact Name
Emergency Contact Phone
Do you have any prior horse riding experience?
None
Beginner (ridden a few times)
Intermediate (comfortable at walk, trot, and canter)
Advanced (experienced in jumping, dressage, or trail riding)
How often do you ride?
Never
Occasionally
Weekly
Daily
What type of riding are you interested in?
Trail Riding
Dressage
Show Jumping
Western Riding
Endurance Riding
Other:
Have you ever taken formal riding lessons?
If yes, for how long?
Do you have any medical conditions or allergies that we should be aware of?
If yes, please specify
Are you currently taking any medications?
If yes, please specify
Do you have any physical limitations or injuries that might affect your ability to ride?
If yes, please specify
What is your level of physical fitness?
Strongly Agree
Agree
Neutral
Disagree
Strongly disagree
Are you comfortable with physical activity that requires balance, coordination, and strength?
Yes
No
Unsure
What are your goals for horse riding?
Recreational enjoyment
Competitive riding
Improving skills
Building confidence with horses
Other:
Do you have a preference for the type of horse you would like to ride?
No preference
Calm and gentle
Energetic and spirited
Specific breed
Please specify the specific breed.
Do you have a preference for the type of horse you would like to ride?
Group
Private
Both
What is your preferred schedule for riding lessons?
Weekdays
Weekends
Mornings
Afternoons
Evenings
Are you comfortable around horses?
Yes
No
A little nervous
Do you have any fears or concerns about horse riding?
Yes
No
If yes, please specify.
Do you have your own riding equipment (helmet, boots, etc.)?
Yes
No
If no, would you like to rent equipment from us?
Yes
No
Are you aware of the risks involved in horse riding?
Yes
No
Do you agree to follow all safety instructions provided by the instructor?
Yes
No
What is your preferred schedule for riding lessons?
Friend/Family Recommendation
Social Media
Website
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Other:
Any additional comments or special requests?
I confirm that the information provided above is accurate to the best of my knowledge. I understand that horse riding involves inherent risks, and I agree to follow all safety guidelines provided by the instructor.
Participant Signature
Thank you for completing the form! We will review your responses and contact you shortly to discuss the next steps. If you have any questions, feel free to reach out to us.
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