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K Diamond Consulting Pty Ltd ABN 96 135 966 488 trading as GUNNAMATTA TRAIL RIDES

Risk Warning and Waiver Liability


Name of Provider [1]:            K Diamond Consulting Pty Ltd trading as Gunnamatta Trail Rides

Address of Provider:           150 Sandy Road, Fingal VIC 3939

The following pages affect your legal rights and obligations. Please read these carefully and only sign if you fully understand their contents. For Participants under 18 years of age, these documents must be completed by a parent or legal guardian.

Description of Activities [2]       

Horse Riding &/or related activities

 

Risk Warning

I am aware that by my participation in any activities arranged by the Provider, certain risks or dangers may occur which could include:

·      Physical, bodily or psychological injury or death.

·      Physical exertion to which I am not accustomed.

·      Failure of equipment or use of inadequate equipment.

·      There may be no or inadequate facilities for treatment or transport to treatment if I am injured.

·      The conditions in which the activities are conducted may vary without warning.

·      I may cause injury to other persons and/or other persons may cause injury to me.

·      I may be injured or die due to the negligence, breach of contract or breach of statutory duty or guarantee of the provider.

I acknowledge that the activities are being undertaken for the purposes of recreation, enjoyment or leisure, and involve a significant degree of risk of physical harm.

I acknowledge that the Activity may be undertaken with one or more other persons as part of a group and that the Provider is not liable for the actions of other participants in the group activity.

By signing below, I acknowledge, agree and understand that the risks associated with the Activities and/or recreational services have been explained to me. I undertake any such risk voluntarily and at my own risk. 

I acknowledge that the risk warning above constitutes a “risk warning” in accordance with the Civil Liability Act 2002 (NSW) and the Civil Liability Act 2002 (WA).

 

Participant’s Warranties

I agree to abide by any of the Provider’s rules, and any direction or instruction given to me by the Provider during the course of the Activities. I agree to use and/or wear any equipment given to me by the Provider.

I declare that I am medically and physically fit and able to participate in the Activities. I acknowledge that I must, and agree that I will, disclose any pre-existing medical or other condition, injury or concern that may affect the risk that either I or any other person will suffer injury, loss or damage during the course of the Activities and notify the Provider of any injuries, illness or concerns that may arise during the Activity. I will not engage in any reckless, negligent or foolish behaviour or any other behaviour that is likely to cause injury to me, any other participant or person.

I agree that if I suffer any injury or illness, the Provider may provide evacuation, first aid and/or medical treatment at my expense and that my acceptance of these terms and conditions constitutes my consent to such evacuation, first aid and/or medical treatment.

I declare that I have not consumed any alcohol or mind altering substance, or medication that may impact my judgement or physical capacity, before or at the time of engaging in the Activities.

Exclusion of liability

I agree to and unconditionally release, waive, discharge and forever hold harmless, the Provider or any of its employees, agents, directors or officers, from any claims as a result of any personal injury sustained, whether caused by the Provider’s negligent act or wilful act or omission, breach of contract, breach of statutory duty, error, or otherwise in connection with or arising out of the Activities.

I agree that the Provider will not be liable for any claims for personal injury that may be brought against it as a result of or in connection with any act, omission, default, failure or error on the part of the Provider, and agree to indemnify and keep indemnified the Provider in respect of any such claims.

Waiver

It is possible for a supplier of recreational services to ask you to agree that the statutory guarantees under the Australian Consumer Law (which is schedule 2 to the Competition and Consumer Act 2010 (Cth)) do not apply to you. If you sign this form, you will be agreeing that your rights (or the rights of a person for whom or on whose behalf you are acquiring the services) to sue the Provider in relation to the Provider’s services or the activities that you undertake because the services or activities provided were not in accordance with the guarantees are excluded, restricted or modified as set out below.


Warning under the Australian Consumer LawAndFair Trading Act 2012 (Vic)

Under theAustralian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you—

·      Are rendered with due care and skill; and

·      Are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and

·      Might reasonably be expected to achieve any result you have made known to the supplier.

Under section 22 of the Australian Consumer Law and Fair Trading Act 2012, the supplier is entitled to ask you to agree that these statutory guarantees do not apply to you. If you sign this form, you will be agreeing that your rights to sue the supplier under the Australian Consumer Law and Fair Trading Act 2012 if you are killed or injured because the services provided were not in accordance with these guarantees, are excluded, restricted or modified in the way set out in this form.

NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier's part. Gross negligence, in relation to an act or omission, means doing the act or omitting to do an act with reckless disregard, with or without consciousness, for the consequences of the act or omission. See regulation 5 of the Australian Consumer Law and Fair Trading Regulations 2012 and section 22(3)(b) of the Australian Consumer Law and Fair Trading Act 2012.

Agreement to exclude, restrict or modify your rights:

I agree that the liability of the Provider for any personal injury that may result from the supply of the recreational services that may be suffered by me (or a person for whom or on whose behalf I am acquiring the services) is excluded.

Declaration and Signature

I have read carefully and understand this risk warning and waiver of liability and sign it freely and voluntarily without inducement of any kind.

Signature of Participant:


Date:

 May 28, 2024

 

For Participants under age 18

This is to certify that I, as a parent/guardian with legal responsibility for the Participant, acknowledge, understand and accept all of the above and consent to his/her release as provided above. I release and agree to indemnify and hold harmless the Provider from any and all liabilities arising from my minor child’s involvement or participation in the Activities and/or recreational services, even if arising from the negligence of the Provider.

Signature of Legal Guardian:


Date:

 May 28, 2024


Name (Print):

 

[1] Activities includes all activities and services ancillary to or associated with the named Activity, both before and after the Activity, including transportation to and from the location of the Activity whether provided by the Provider or not, briefings, inductions, training, and the provision of information in all manuals, safety guidelines and other documentation provided to or made available to the Participant with respect to the Activity, familarisation with clothing or equipment and methods of operation of equipment and the wearing and removal of any clothing or equipment associated with the Activity. Unless otherwise specified, a reference to an Activity is a reference to a recreational service or a recreational activity as defined in relevant legislation referred to herein.

[2]Recreational services are services that consist of participation in—

•       a sporting activity or similar leisure-time pursuit; or

•       any other activity that involves a significant degree of physical exertion or risk and is undertaken for the purposes of recreation, enjoyment or leisure.

[3] Personal injury is bodily injury and includes mental and nervous shock and death


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Please select your Weight (kg) fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.


There is No Credit, No Rescheduling, No Refund if you have grossly under-estimated your weight and/or exceed the maximum 90kg safety weight policy and/or not declared the information that we must be made aware of that allows you to take part in the services we provide.


Are you an experienced rider? ie More than 5 years continuous riding*
No
Yes
How many times have you ridden a horse in the past 12 months:In the last 12 months"*

To qualify your capability we need you to advise the following:

In the last 12 months, how many times you have done the rising trot?*
In the last 12 months, how many times you have cantered?*
Are there any learning difficulties that need to be discussed, so the Instructors/Guides are able to accommodate accordingly?*
No
Yes

Please describe:
Do you (or your child) suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
ADHD
Allergic Reactions
Asthma
Autism
Back Injury
Blackouts
Diabetes
Disability
Dizziness
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Migraines
Physical Disability
Pregnancy
Recent Injury
Surgery within the last 12 months
Uneven Pupils

Other
Medication: Is it necessary for you or your child to carry their own medication at all times?*
No
Yes

Name of drug:

Frequency:

Dosage:

Consent to Medical Attention

I authorise the instructor in charge to administer first aid and call an ambulance. I agree to bear any cost thereby incurred.



I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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