Form Owner: www.donegalequestriancentre.com

Rider Registration Form 2017

Please complete all sections and boxes with rider details.

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Please give details of any pre existing medical conditions that your instructor should be made aware of.

Emergency Contact Details

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Riding Ability - I consider myself or the person for whom I am signing on behalf of to be -

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I accept full responsibility for my child and confirm that the above pre assessed abilities are correct. I accept my child rides at his/her own risk.

I confirm that the above pre assessed abilities are correct and I agree that I ride entirely at my own risk.

DATA PROTECTION ACT: I understand that the information I have given will be held in accordance with the data protection act but may also be made available to Insurers and other concerned third parties in the event of any accident or injury.

I understand that I must obey the instructions of the instructor and must comply with Health and Safety requirements of the establishment.

I reserve the right not to ride a horse allocated to me or my child and or request a change of instructor. I confirm that to the best of my knowledge all the above details are correct.

I ACKNOWLEDGE THAT HORSE RIDING IS A RISK SPORT AND HOLDS A POTENTIAL DANGER, and that horses may react unpredictably on occasions.

I confirm that to the best of my knowledge all the above details are correct. A parent or guardian of riders under the age of 18 must sign this form.

Signature On arrival

* indicates required fields

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