Carriage Riding Registration Form

(For those being taken for a ride on a carriage rather than receiving tuition or when someone is consenting on the participants behalf.)

Name of Participant*

Age of Participant*

Date of Birth*

Address of Participant*

Participants email Address

Participants contact Number:*

Weight including wheelchair if used*

Emergency Contact Name:*

Emergency Contact Tel/Mob Number:*

Emergency Contact Address:*

Please give details of any disability, special needs, allergies or conditions along with any relevant information that would assist the instructor

I understand that riding on a pony and carriage carries inherent risk and that all horses/ponies may react unpredictably on occasions.*

I Accept Terms

I understand that there is a risk of the carriage overturning or losing control and that I could be injured. I accept that risk.*

I Accept Terms

I understand that wearing an appropriate riding hat may reduce the severity of an injury should an accident happen.*

I Accept Terms

I agree that neither Sandside farm nor Chris Ainscough nor his staff will not be liable for injury or damage to property unless it is caused by their negligence.**

I Accept Terms

Signed by the participant or their representative who has read, understands and consents to the participant taking part in carriage riding.*

Yes I Sign this Carriage Riding Registration Form

Date This form was filled out and Signed*

Chris Ainscough Carriage Driving

Contact

Interested

chrisainscough1988@gmail.com

07743 554 202

Sandside Farm

Wheel Lane

Pilling

Lancashire

PR3 6HL