Please Print, Fill in As Much As Possible and Bring for Completion

RIDER EXPERIENCE & INDUCTION (to be accompanied with physical induction on arrival)

Please print, fill in as much as possible and bring for completion.

(Allow approx 15 minutes prior to first lesson)

If details should change please inform coach and update relevant form/s.

PARTICIPANT NAME:………………………………………AGE…………………...DOB……………………

EMAIL:……………………………………………………………………………………………………………

Where did you hear about us? Yellow Pages Book o Yellow pages online o FaceBook o Our Website o GumTree o Richmond Community News o Recommendation o Pony Party o Flyer o Other o

Approx last time you rode? DAYS o WEEKS o MONTHS o YEARS o NEVER o

Type of area? ENCLOSED ARENA o OPEN FIELD o BUSH o BEACH o ON LEAD ROPE o

Whose Horse? OWN/LEASE o BORROWED o RIDING SCHOOL o OTHER o

Your riding level? NOT APPLICABLE o WALK o TROT o CANTER o GALLOP o JUMP o

Can you rise trot and steer un-assisted? N/A o YES o NO o UNSURE o

Have you ever fallen off? N/A o YES o NO o MORE THAN ONCE o ALMOST o

Do you intend to ride your own horse here? N/A o YES o NO o EVENTUALLY o UNSURE o

Do you feel safe riding your own horse? N/A o YES o walk o trot o canter o gallop o .poles o jumping o NO o

PLEASE TICK BELOW when DISCUSSED and UNDERSTOOD (Why, What, How, Where to Find etc.)

Body Protectors are not compulsory but strongly recommended o

Current Standard Riding Helmet Must be worn at all times o

Riding Boots must be worn & have flat sole or little grip, slip on with a heel o

Jodhpurs/comfortable full length trousers a must /no shorts/skirts o

Long sleeves preferable, may protect some sun and grazing o

Shown spare Gloves/Jackets/Socks/Boots/Helmets/Trousers/Hair bands/Spectacle holders o

Gloves/Chappettes optional (offer some protection/warmth) o

I have listened or read and accept the PROPERTY RULES o

Long hair tied back /minimum jewellery/no scarves o

Rider mobile phones to be turned off and secured (may be kept switched on if essential) o

Shown drinking water/tea/coffee facilities location o

Shown Toilet-Wash room and lost property box location o

Riding school blackboard & website calendar will inform any riding school closure dates( client responsibility) o

Emergency/Evacuation Procedures explained, also where to locate Fire Extinguishers /First Aid Kits o

Parking Area/Overflow Car-park/Float Parking (emergency vehicle access to be kept free) o

I give permission for photos taken during lessons to be used for advertising purposes o

MISSED LESSONS WILL INCURE A $20 RETAINER FEE for private lesson or

$15 retainer fee for shared lesson Less than 24 hrs notice full fee due AT NEXT LESSON o

I realize I and any visitors I bring with me to watch must read property rules & sign in/out each time o

My initial queries/questions answered satisfactorily o

I accept acknowledgement of the above by signing below:

Participant Signature……………….………………………………………………………………………………

Parent/Legal Guardian Name & Signature (if participant u/18)……………………………………..………….

………………………………………………………………………… Date………………..………… 3

Induction pge3 V2015031