Thank you for your interest in our equine activities. Please complete this form to the best of your ability so we can best match you with the most suitable program.
First Name
Last Name
Date of Birth
Street Address
City
State/Province
Postal/Zip Code
Phone Number
Email Address
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship
Have you ridden horses before?
If yes, how many years of experience do you have?
What disciplines have you ridden?
English (e.g., Dressage, Show Jumping, Eventing)
Western (e.g., Reining, Barrel Racing, Trail Riding)
Pleasure Riding
Other:
What is your current riding ability level?
Beginner (No prior experience or very limited experience)
Novice (Basic skills, comfortable at walk and trot)
Intermediate (Competent at all gaits, some experience with more advanced techniques)
Advanced (Experienced rider, proficient in various disciplines)
Have you had any formal riding lessons?
If yes, for how long?
Do you own or have access to a horse?
If yes, please briefly describe your horse (breed, age, and temperament).
Are you currently taking riding lessons elsewhere?
If yes, please provide details: (School/Instructor).
What type of equine activity are you interested in?
Horseback Riding Lessons
Trail Rides
Pony Rides (For children)
Horseback Riding Camps
Clinics/Workshops
Other:
Specify discipline if known
English
Western
Other:
Please specify your topic of interest for clinics/workshops.
What is your primary goal for participating in equine activities?
Learn to ride/improve riding skills
Enjoy recreational riding
Compete in equestrian events
Socialize with other horse enthusiasts
Spend time outdoors/connect with nature
Other:
How often are you looking to participate in equine activities?
Once a week
Several times a week
Once a month
Occasionally/as needed
Other:
What days and times are you generally available?
Are you interested in group lessons or private lessons?
Group
Private
Both
What days and times are you generally available?
Do you have any physical limitations or medical conditions that may affect your ability to participate in equine activities?
If yes, please explain.
Do you have any allergies, including allergies to horses, hay, dust, or insect stings?
If yes, please explain.
Are you currently taking any medications that may affect your ability to ride or handle horses?
If yes, please explain.
Have you ever experienced a fall from a horse or had any other riding-related injuries?
If yes, please explain.
Are you comfortable around horses?
Yes
No
Somewhat
I understand that horseback riding and other equine activities involve inherent risks, including the risk of serious injury or death. I acknowledge these risks and agree to assume full responsibility for my own safety and well-being while participating in any equine activities offered by [Name of Organization]. I hereby release and hold harmless [Name of Organization], its owners, employees, and volunteers from any and all liability for any injuries or damages I may sustain while participating in these activities.
Participant Signature
Thank you for completing this form. We look forward to welcoming you to our equine program!