Lesson Registration—Horsemanship - New Canaan Mounted Troop

IMPORTANT: Before registering, riders MUST first confirm availability with Hannah Jones.

Hannah can be reached by email here or by phone at Troop at 203-966-0634.

Lesson Rates:
Private 1/2 hr/members: $85
1 hr group lessons/members: $85
Evaluation lessons (1/2 hr)/nonmembers: $90
Adult lessons 1/2 hr private: $90
Adult lessons 1 hr group: $90

Rider Name*

First Last

Parent/Adult Rider Email Address

Lesson Type*

Lesson Date*

Lesson Start Time*

: HH

MM

Lesson End Time*

: HH

MM

Total

$0.00

New Rider Evaluation: Warning, Indemnity, Hold Harmless and Release of Liability

WARNING

Pursuant to Connecticut General Statutes §52-557p, a person engaged in recreational activities assumes the risk and responsibility for any injury to his or her person or property arising out of the hazards inherent in equestrian sports, unless the injury was caused by the negligence of the person providing the horse/pony or horses/ponies to the individual engaged in the equestrian activities, or the failure to guard or warn against a dangerous condition, use, structure or activity of the person providing the horse/pony and/or horses/ponies, or his or her agents and or employees.

ACKNOWLEDGEMENT

I, and/or on behalf of my child listed below, understand that there is an inherent risk in equestrian sports, including but not limited to the risk of serious physical injury, loss and/or death. However, I feel that the possible benefits for myself /my child /my ward are greater than the risk assumed. I, on behalf of myself /my child /my ward, fully assume all risks associated with equestrian sports, including Therapeutic Riding Programs, even if due to the NEGLIGENCE of New Canaan Mounted Troop, Inc. (hereinafter referred to as "NCMT"), and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees, including but not limited to variations in the indoor and outdoor ring conditions; man-made obstacles; collisions with object either inside or outside the riding rings including but not limited to jumps, hay bales, shrubbery, rocks, equipment, employees, participants, or other patrons and spectators on the property; lack of safety devices, or inadequate safety devices; lack of warning or inadequate warning; lack of instruction or inadequate instruction. I, on behalf of myself / my child / my ward, am responsible for immediately informing NCMT of any mental, physical or other condition, or change in condition, that may affect my child's ability to participate in equestrian sports, including Therapeutic Riding Programs.

HORSES & PONIES

I, or on behalf of my child listed below, understand that horses and ponies, although tamed, trained and boarded at NCMT are in fact a "wild" animal, and may buck, shy, spook, kick, bite and/or react unexpectedly to the actions of other horses or ponies, riders, employees of NCMT, and environmental effects including but not limited to noise, wind, light/darkness, or any man-made or environmental anomaly beyond the control of NCMT, its instructors, guest instructors, Officers, Directors, Agents, Volunteers and or Employees.

INDEMNIFICATION

I, or on behalf of my child listed below, for myself and for my heirs, assigns, successors, executors, administrators and legal representatives, agree that I will defend, indemnify and hold harmless, NCMT and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees, free from any and all claims, suits or demands by anyone arising from my use of the facility, equipment and/or horses/ponies owned by, boarded at NCMT, or brought onto the property owned by NCMT, including claims of NEGLIGENCE on the part of NCMT and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees.

RELEASE

I, or on behalf of my child listed below, for myself and for my heirs, assigns, successors, executors, administrators and legal representatives, hereby release and agree that I will not sue NCMT and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers, and/or Employees, for money damages and/or for any injury, loss and/or death, emotional distress, or from theft to person, horse/pony or possession, sustained by me while using the facility, equipment and/or horses/ponies owned by, boarded at NCMT, or brought onto the property owned by NCMT, even if due to the NEGLIGENCE of NCMT and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees.

New Trooper Evaluation: Parent/Guardian or Rider (if 18 or older) Waiver Signature*

WARNING, INDEMNITY, HOLD HARMLESS & RELEASE OF LIABILITY
I have read this WARNING, INDEMNITITY, HOLD HARMLESS and RELEASE OF LIABILITY and fully understand its terms. I further understand that by signing this agreement that I may be waiving specific legal rights, either for myself or for my undersigned child on whose behalf I am signing this agreement. I have not been induced to sign this agreement and have not signed pursuant to any promise or representation which has not been attached hereto, if any. I sign said agreement voluntarily and of my own free will.

Payment

Cancellation Policy*

Riders must contact Troop at least four hours before the scheduled lesson to cancel. Late cancellations and no shows will be billed the full lesson fee.

I have read and understand the cancellation policy.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name