Lesson Student Application

Rider Name*

First NameLast Name

Date of Birth*

Date

Parent/Guardian Name (if under 18)*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

I, {Parent/Guardian},and/or rider of the child,{Child Name}, agree with the following statements:

I understand that there are inherent dangers in horse riding as horses are powerful and potentially dangerous animals. I also understand the risk and the need for the rider to take all reasonable precautions and follow instructions of staff at all times.I release the Never Say Never Stables, its officers, stewards, agents, representatives from liability of any claim that could arise from my and/or his/her participation in horse riding or any related activities, or of any loss of or damage to my and/or his/her property.I understand that such horse riding activities will include but not be limited to riding, working with horses on foot or any other activity undertaken by participants in riding lessons.I or my child are have been cleared by a Primary Physician for equine related activities including but not limited to riding, grooming, handling and interacting with horse and other animals.In the event of an accident involving me and/or my child there is no obligation on Never Say Never Stables to secure for me and/or my child’s medical treatment; however I do hereby authorize the Never Say Never Stables to act in my and/or his/her best interest, which may include the obtaining of the necessary emergency medical treatment.Never Say Never Stables or its staff or agents shall not be liable for any loss or damage of property brought to the facility, including money, cell phones, tack, clothing or other personal items.I understand and agree to comply with the Barn Rules listed below:

Barn Rules

Students AND Parents - Please read, understand and abide by the following rules as we strive to give everyone a safe and fun learning experience here at Never Say Never Stables. Rules and regulations are in place for the safety of all riders and horses. Barn rules are also posted on/in the tack room for easy reference.

1. NO SMOKING, vaping, illegal substance or alcohol permitted on premises, or within 100 feet of the property.

2. There is zero tolerance for disrespect, bullying and/or threatening any human or animal on the property. Disrespect and/or damage to any part of the property and/or others’ property will not be tolerated. Compensation for stolen or damaged property will be expected in full.

3. For safety reasons, spectators must remain at the viewing area (picnic gazebo/play area) while lessons or equine activities commence, and all children must remain under direct supervision by parent or guardian at ALL TIMES.

4. Lesson student(s) may be dropped off for activities with trainer’s consent and at their discretion.

5. Listen to your trainer and follow their instructions at all times. Riders not following instructions or acting in an unsafe or disrespectful manner will be asked to dismount or cease activity immediately. This rule is for your safety, the safety of other participants, and the horse’s well-being. NO refund will be given in part or whole for lessons ceased for this reason.

6. All students participating in barn and/or riding activities at NSN MUST wear an ASTM approved riding helmet at all times. We provide helmets for your use.

7. Do not detach and/or cross chains, gates, fence tape or other boundaries unless escorted by staff.

8. Do not enter arena or horse stalls/pens unless specifically instructed by your trainer.

9. Please do not bring any personal pets to the stable.

10. Closed toed footwear is mandatory for all barn activities and riding. No flip flops, crocks or sandals while in the barn. Long pants are recommended for riders comfort.

11. No running, screaming, loud noises, or horseplay (no pun!) while in direct contact with the horses or animals or in their areas.

12. Do not chase or attempt to catch or hold any animal, including our free range chickens.

13. Ask before petting ANY of the horses or animals.

14. DO NOT feed ANYTHING to the horses or other animals. This includes any hay, leaves, grass, plants or debris found on the ground. We appreciate your help in keeping our horses safe and healthy!

15. Do not enter goat pen or other any animal pens without permission.

16. Do not poke, push or place any items into any of the pens or fenced areas. This includes sticks, leaves, rocks, grass, food, fingers, etc.

17. Please refrain from opening umbrellas while lessons are in progress as they can cause the horses to spook.

18. Report any concerns, issues, damage and/or injuries (human or animal) to a staff member immediately upon occurrence/observation.

19. Disclose any/all illness, symptoms, conditions or health concerns to your instructor. 24 hours must pass before entering the property after a fever.

20. We abide by the current CDC rules regarding Covid-19 and/or any other contagious illnesses.

I/we agree to abide by the above Barn Rules for our own safety and the safety of the horses,animals and staff of Never Say Never Stables. I/we understand that failure to abide by ANY of these rules will be grounds for expulsion and we will be asked to leave the property immediately.*

Please list any/all Medications. If none, please type N/A in the box*

Please list any/all Special Needs and/or Medical Issues. If none, please type N/A in the box:*

I give permission for Never Say Never Stables to take photos for use on its website, social media platforms and/or printed material*

Yes, I'll smile for the camera!No, thank you

Date

Signature*