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You must fill out this form in order to ride
Riders Name: ____________________________________________________________Birthdate:__________
Street Address: _________________________________________ City: ___________________
Zip: ________
E-mail: _______________________________ Drivers License #: _____________
Phone: _________________
Emergency Contact Information:
Name: _____________________________________________________________
Phone: _________________
Medical Concerns: ___________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Allergies: __________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Please use the following lines to explain your horseback
riding background. Make sure to indicate the last time you rode, how
frequently you rode, any horse related injuries, the breeds of horses
you've worked with, and any good/bad experiences that should be noted:___________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
I am interested in:
Riding Lessons (50% deposit due at signing):
[ ] Introductory (1 for $15) [ ] 5 for $ 95 [ ] 9 for $160
Pleasure Riding (per hour, one hour minimum):
[ ] $15 single person [ ] $25 couple
Just a few notes:
Anyone interested in learning how to ride should realize
that the first lesson may not get as far as mounting and walking around
the ring. Basic skills have to be obtained before speed, distance, and
other freedoms can be practiced. Pleasure riding demands a basic knowledge
and experience of horseback riding. If there is any concern that pleasure
rider has not been up front about his/her abilities, we will withdraw
the offer to ride. Please remember that our concerns are for the students/riders
and the horses; it is the wish of the instructors/staff/owner to do
whatever is necessary to keep them safe.
The Horses will be groomed and tacked up for you or with
you, as par your instructor. It is important that you arrive for your
scheduled lesson/pleasure ride a few minutes ahead of time, so that
we can start on time. It is the responsibility of the student to call
the Ranch office (or their instructor) in advance to cancel a lesson.
Missed lessons may be made up provided a 24-hour advance notice is given.
It is the responsibility of the student to arrange for a make-up lesson
with their instructor. There are no bathroom facilities, water fountains,
or vending machines at the Ranch, so be forewarned. Students participating
in lessons should NOT assume that their class is canceled in the event
of bad weather. Students may have the choice of an indoor "barn"
lesson, with the approval of their instructor, in case of bad weather.
Classes are only canceled when the instructor notifies you of such a
cancellation. All students and pleasure riders are required to sign
an Agreement and Liability Release Form at least once a year. Parents'
or Riders' signatures must either be witnessed by a Ranch staff member
or be notarized. Receipt of this agreement, properly signed, is required
prior to the student's participation in riding lessons or person's being
able to free ride. It is the responsibility of the student/pleasure
rider to comply with this agreement and directions given by instructors/staff/owner.
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