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Elysian Riding Consent Form
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(cm) Learner's (kg)
Parent/Carer Name
*
First
Last
Learner's Name
*
First
Last
Learner's Height (cm)
*
Learner's Weight (kg)
*
Riding Experience and Ability
*
Provide details about the learner’s riding experience and ability.
Medical Conditions and Medications
*
List any medical conditions or medications that may affect the learner’s ability to ride.
Please Read the following:
I understand and accept that working with horses and riding at any standard has a risk and that all horses may react unpredictably on occasions.
I understand that my child/young person may fall off and be injured. I accept that risk.
We understand that all instructions are given for safety reasons and that they need to be followed when given by staff whilst on site and/or under their supervision
We understand that wearing a fitted hat and body protector and gloves may reduce the severity of an injury should an accident happen and agree that my child/ young person will always wear a riding hat whilst riding and leading horses. Body protectors are mandatory whilst riding but optional when leading and grooming.
Body protector – must be 2018 L3 (turquoise label) • Riding hat – must be PAS 015:2011 • Riding boots – not yard boots – can be long or short. If short boots are worn, then we would advise chaps or gaiters are worn with them • Riding gloves • Riding tights/jodhpurs/breeches/comfortable trousers. No jeans/ no short, sleaved tops
We understand that Elysian will make decisions based on information I give them about my child/young person’s
Abilities and riding experience
Any previous riding accidents
Any medical conditions which may affect the ability to ride
Any changes to medical conditions and medications
We understand that Elysian may refuse a request to ride or participate in any activity for safety or operational reasons
.
Parent/Carer Signature
*
Clear Signature
Sign to confirm the details provided and consent to participation.
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