Phone to book a ride or place an order         Mob: 07980 225 295      Tel: 01568 760 267

Come riding Never ridden or Start riding again

No age limit


MEADOW-BANK RIDING CENTRE

 Hamnish, Leominster, HR6 0QN

Tel : 07980 225 295        Tel: 01568 760 267

To save time, print this form and bring it with you.

RIDER REGISTRATION FORM

 THE HORSE RIDERS’ CODE OF CONDUCT  

 

Please indicate whether or not you consent to photographic rights:


YES             NO                            DATE: ………….


Signed by parent or guardian: ……………………………………


Signed by minor: ……………………………..                          


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RIDER REGISTRATION FORM


Name of equestrian establishment:   Meadow Bank Riding Centre

CONFIDENTIAL – Please complete all sections  

First name:  ……….……………………….……………. Surname:of rider   ………………………………………………..

Address:  …………………………………………………………………………………………………………….


Post code:  ….…….………….……..

Tel (Home):  ………………………………..

Tel (Mobile):  ………………………….……

Email:   .………….…………………………………………………………….….…….

Date of birth:  ……………….  Age:   ………….

Weight:  ………….. Height:   …………………………

Occupation:   ………………………………………………….

Have you, or the rider you are signing for, ever suffered a serious  

injury or discomfort while riding or been advised not to ride?               Yes                                             No     

If yes, please describe:   …………………………………….

…..........................................................

Please detail any disability or medical conditions that may affect your ability to ride. This may include but not be limited to any

 back problems and any condition, which can affect balance or cause blackouts/ loss of consciousness/ fitting etc. ………….….…………………….

  ........................................................................................................................................................................

EMERGENCY CONTACT

Contact name and relationship:………………………………………………………   Tel:………………………………………..  

RIDING ABILITY/ DECLARATION – tick all boxes that apply

I consider myself (or the person riding for who I am signing on behalf as a minor) to be a:  

Complete Beginner               Beginner               Novice               Intermediate               Advanced   

How many times have you or the rider ridden in the last 12 months?   None       Under 12       12-40       40+  

What do you believe your or the rider’s capability on a horse or pony to be?  

Riding at a walk       Trotting with stirrups     Trotting without stirrups     Cantering     Hacking  

Riding over jumps up to 0.5M (18”)     Riding over jumps up to 0.75M (30”)     Riding over cross country jumps   

 

I confirm that to the best of my knowledge all the above details are correct.

I have read the Horse Riders’ Code of Conduct overleaf. I understand that riding at any standard has inherent risk that I may fall off and could be injured.

 I accept that risk and agree that the riding school will not be liable for injury or damage to property unless it is caused by their negligence.

Where I am signing on behalf of a minor I have explained the Riders’ Code of Conduct to my child and we both accept the risk and agree that the riding school

will not be liable for injury or damage to property unless it is caused by their negligence.

I have read and understand the lesson booking and cancellation policy and agree to bide by it all times.

Data Protection Act 1998: Statement: I understand that information I have given will be held in accordance with the Data Protection Act 1998 but may also

be made available to Insurers and other concerned parties in the event of any injury or accident.

 

Signature…………………………………………………….…………………………..……


 Date……………………………………

 

Name……………………………………………………………………………..……………

 

If signed on behalf of a minor:  

 

Rider’s Name……………………………………………………………………….   Relationship to rider ……………………….….…………



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