Riding Waiver

Riding Induction and Waiver

This form must be completed by all participants in riding lessons provided by Trevena Glen Farm. If you get stuck anywhere in the process, make sure you scroll up/down the page and look for any Error messages in red. These will need to be corrected before you can progress.

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Horse Riding Safety Induction

1) Horse Security

Horses are to be secured at all times. The various ways in which they can be secured are:
  • Halter and lead rope with a hand holding the lead rope
  • Bridle and reins with student holding the reins
  • Tied safely to the float, wearing a halter and tying the lead rope in a quick release knot on twine
  • Tied to another secure object (as authorized by the instructor) in the same manner as being tied to a float.
In the event that you are unable to tie up a horse please advise us and we can make arrangements to tie them up or place them in the yard.

2) Safety Around Horses

It is our aim that you have an enjoyable time however there is also a serious side to horse activities. Horses can be dangerous creatures and may often react instinctively and without warning. They are big, strong animals and are capable of causing serious injury or death. Horses do not have reasoning powers and may react in an unforeseen way even when there is no obvious danger in the reasoned opinion of the human. We have attempted to provide a list of the safety procedures whilst around horses. This is not an exhaustive list as we cannot account for every possible situation. We therefore ask that you exercise caution, adopt a common sense approach at all times, and alert us to any situation that you feel may be dangerous.
  • Only handle your own horse and do not approach other horses
  • Refrain from any sudden movement or sudden noise, such as running, yelling etc.
  • Do not approach a horse directly in front of it or directly behind it as these are its two blind spots – instead approach from the side and use your voice to make the horse aware that you are approaching
  • Unless necessary (e.g. cleaning out hooves), always keep a safe distance from the hindquarters of a horse (2 metres minimum)
  • Be aware of aggressive body language of a horse such as laying its ears back or baring its teeth or move it’s hindquarters toward you.
  • Riders are to ensure that their horse keeps a minimum of one horse length (approximately 2.5 metres) from other horses.
  • Please advise the instructor if you see the horse has any vices such as biting, kicking, rearing, bolting, bucking etc.
  • Students are to wear appropriate footwear (e.g. closed-in shoes) around horses.
  • Any horse that has, or is suspected of having, an infectious disease (such as a virus, fungal Infection etc.) is not to be brought onto the property

Basic Contact Details

Name of the person who will be participating in horse riding

Participant DOB in format dd Mmm YYYY (02 Jan 2005) or use the date picker (calendar icon on the right)

The name of the person with primary responsibility for the child participant

If the participant is aged over 12 and has a mobile phone you may specify it here if you like.

Phone number of the responsible person (parent/guardian)

Primary residential address

Residential postcode

Personal and Medical

Personal Details

Card number and line

Any conditions or issues that may affect pickup, drop off, and supervision of the participant

Emergency Contacts

Name of first emergency contact

What is the relationship of this person to the participant?

Mobile or fixed line phone contact

Name of second emergency contact

What is the relationship of this person to the participant?

Mobile or fixed line phone contact

Safety and Care Details

Medical Details

Please select any of the following that apply:

Waiver of Liability

In consideration for being permitted to participate in any way in horse sport activities, I, the undersigned, understand, acknowledge and accept that:
  1. Horse sports are a dangerous recreational activity and horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt. There is a significant risk that serious INJURY or DEATH may result from horse sport activities. I knowingly and freely assume all such risks, both known and unknown, and I voluntarily PARTICIPATE at my OWN RISK and assume sole responsibility for any injury, death or property damage I may suffer that arises from my participation in horse sport activities.
  2. I agree to follow the directions of any staff member or volunteer and that any misconduct or refusal by me to follow any direction of any staff member or volunteer can result in the CANCELLATION of my participation in the activities and my immediate removal from the horse NO MATTER where that may occur. I understand that any such non-compliance may result in injury, death and/or permanent disability as a result of my failure to comply.
  3. I agree to wear a helmet at all times whilst riding where this is required under the relevant state laws, industry regulations and best practice and agree that I am solely responsible for ensuring that whilst riding I wear a suitable helmet at all times where required to do so and take sole responsibility for my actions.
  4. I have had sufficient opportunity to read this assumption of risk agreement, fully understand its terms and sign it freely and voluntarily.
With respect to participants of Minority Age (Under Age 18). I also certify that, as a parent/guardian with legal responsibility for this participant, I acknowledge, understand and accept ALL OF THE ABOVE and consent and agree to my minor child's involvement or participation in horse sport activities.

The person making this declaration as described above

The person making this declaration as described above

You must select "Yes" in order to submit this form

PLEASE READ VERY CAREFULLY:

You MUST click the Submit button for the form data to be submitted (shown below once you click "Yes" to indicate you have read the information and agreed with the waiver provided above). DO NOT leave this page until a GREEN message is displayed otherwise your information will NOT be recorded.

Once you submit the form, please check your page for a message in green that indicates the form has been submitted successfully (this should be at the bottom of the form). This message can take a few seconds to appear so wait until the the small activity circle stops rotating. Once successfully submitted, you should also receive a confirmation email.

If a green message does not appear, you will need to scroll up to see error messages in red). If you have an error message, please check:

  • The mandatory fields (with red asterix) have been filled in. If you don't have anything to put in the field, write "None" or "N/A".

  • You have provided VALID email addresses (eg. alan@trevenaglen.com.au).

If you have any difficulties, print the page to a PDF and email it to admin@trevenaglen.com.au

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