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Important: Horse riding and horse handling involve inherent risks. Please read this form carefully before signing. A parent or legal guardian must complete and sign this form for any participant under 18 years of age.













Acknowledgement of Risks

I understand and acknowledge that horses and ponies are large, powerful, and sometimes unpredictable animals. Riding and being near horses can involve serious risks, including injury, permanent disability, death, or damage to property, even when safety precautions are followed.

·      Falls from a horse or pony, including during mounting, riding, vaulting, dismounting, or handling.

·      Kicks, bites, crushing, being stepped on, or being knocked over by a horse or pony.

·      Sudden movements, bolting, bucking, shying, rearing, slipping, tripping, or other unpredictable horse behavior.

·      Equipment or tack failure, including saddles, bridles, girths, stirrups, reins, helmets, or other gear.

·      Uneven, wet, slippery, hard, or unstable ground, obstacles, fences, gates, vehicles, other animals, weather, noise, or other environmental hazards.

·      Electric fences, including ticking or clicking fence units, shocks, loose tape or wires, and horses becoming frightened, startled, or reactive because of electric fencing.

·      The actions or inexperience of the participant, other riders, handlers, spectators, staff, volunteers, or third parties.

Safety Rules and Requirements

·      I will follow all instructions given by Kapiti Equestrian Centre staff, instructors, coaches, and authorised volunteers.

·      I will wear an approved, correctly fitted riding helmet when mounted and whenever directed.

·      I will wear suitable clothing and covered footwear appropriate for horse activities.

·      I will not ride or handle horses while affected by alcohol, drugs, fatigue, illness, or any condition that could impair safety.

·      I will behave calmly around horses and will not run, shout, stand behind a horse, or act in a way that may startle a horse.

·      I understand that Kapiti Equestrian and Vaulting Centre may refuse or stop my participation if staff consider it unsafe for me, the horse, or others.

Equipment and Horse Allocation

Kapiti Equestrian and Vaulting Centre takes reasonable care to check and maintain riding equipment. I understand that equipment failure can still occur. I also understand that horses are allocated based on the information I provide, my apparent ability, and staff judgement on the day.

Assumption of Risk and Release

I voluntarily choose to participate in horse-related activities at Kapiti Equestrian and Vaulting Centre and accept the inherent risks involved. To the fullest extent permitted by New Zealand law, I release Kapiti Equestrian and Vaulting Centre, its owners, officers, staff, instructors, coaches, contractors, volunteers, agents, and landowners from claims, losses, costs, or expenses arising from my participation, except where liability cannot legally be excluded.

I understand that New Zealand’s accident compensation scheme may apply to personal injuries, and that this waiver does not exclude any rights or protections that cannot be excluded under New Zealand law.

Participant Conduct, Illness, and Exclusion

·      I will not attend or participate if I have symptoms of a contagious illness, have been advised to isolate, or am otherwise unfit to safely participate.

·      I will disclose any fear, anxiety, behavior, sensory need, or support requirement that may affect safe participation before the activity begins.

·      I understand that unsafe, abusive, disruptive, or non-compliant behavior may result in the participant being removed from the activity without refund, where appropriate.

Property, Vehicles, Dogs, and Spectators

I understand that Kapiti Equestrian and Vaulting Centre is not responsible for loss of, or damage to, personal belongings, vehicles, equipment, phones, clothing, or other property except where liability cannot legally be excluded. Spectators, accompanying adults, children, and visitors must follow all posted and verbal instructions, remain in permitted areas, supervise children in their care, and keep dogs or other animals under control or away from horses as directed.

Own Horse, Lease Horse, or Third-Party Horse Activities

Where the participant brings, rides, handles, leases, or works with a privately owned or third-party horse, the participant or owner remains responsible for accurately disclosing the horse’s behavior, health, suitability, training level, and any known risks. Kapiti Equestrian and Vaulting Centre may refuse, redirect, or stop participation if staff consider a horse, rider, handler, equipment, or situation unsafe.

Medical Treatment Authorisation

If I am injured or become unwell, I authorise Kapiti Equestrian and Vaulting Centre staff to arrange first aid, contact my emergency contact, and seek emergency medical assistance if reasonably necessary. I understand that I remain responsible for providing accurate medical information.

Privacy and Personal Information

Kapiti Equestrian and Vaulting Centre collects the personal, medical, emergency contact, and consent information in this form for safety, administration, insurance, incident response, and legal record-keeping purposes. This information may be shared with staff, instructors, emergency services, insurers, or professional advisers where reasonably necessary. The participant or parent/guardian may request access to, or correction of, their personal information.  Your personal information will not be shared otherwise.

Governing Law and Independent Advice

This form is governed by the laws of New Zealand. I understand this is an important legal document and that I may seek independent legal advice before signing if I do not understand any part of it.

Participant Declarations

By signing this form, I declare that the information I have provided is true and complete. I confirm that I am physically and mentally able to participate, have disclosed all relevant medical or safety information, and will immediately tell Kapiti Equestrian and Vaulting Centre staff if my condition changes or I feel unsafe at any time.

Signature

I have read and understood this Riding Waiver and Risk Acknowledgement Form. I have had the opportunity to ask questions before signing. I agree to comply with all safety requirements and instructions while participating in activities at Kapiti Equestrian and Vaulting Centre.


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Photo and Video Consent
Please indicate whether you consent to Kapiti Equestrian and Vaulting Centre taking and using photos or videos of the participant for club, training, website, social media, or promotional purposes.*
No
Yes
Do you have any medical conditions that can affect your riding
No
Yes
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information

Please understand that we need this information in order to assign you a horse that is most suitable for you

When did you last ride a horse?
Please let us know your height
Please let us know your approximate weight
What is your horse riding ability?
Click to customize multiple option*
I am a beginner / not confident yet
I have sat on a horse at walk
I am confident riding at trot
I am confident riding at canter
I am confident jumping
I have competed before
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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