New Horizon Ranch Beginner Camp Registration Form

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New Horizon Ranch Beginner Camp Registration Form
These camps include some beginner jumping if participants are ready and have a cap of 6 students to ensure proper
individualized attention. Please note this is a day camp and not an overnight camp and, thus, will run from 9 AM to
4:30 PM daily. These camps will take place at:
A preliminary itinerary for the camp is as follows:
10:00 am English Flat lesson maybe some jumping
12:00 pm lunch
1:30 pm English flat/potentially a jumping lesson (working on grids, lines, and hunter courses)
Camp 1
Dates: July 2nd, 3rd, and 4th (3 days because of Canada day)
Price: $205
Ages: 8+
Camp 2
Dates: Aug 5-8 (4 days because of Aug long weekend)
Price: $280
Ages: 8+
What to bring:
-Lunch
-Snacks
-Helmet
-Bug spray
-Pants (no shorts please!)
-Boots with a 1 inch heel (ideally riding boots or rubber boots)
-Sunscreen
-Bathing suit
Lesson horses are available.
New Horizon Ranch Rules
Anyone riding at New Horizon Ranch must read, understand and sign a Release & Hold Harmless Agreement. No
one is to get on a horse without signing such an agreement.
Boots with appropriate heels are mandatory at all times while riding in a saddle.
Helmets are mandatory at all time for any rider on the property of New Horizon Ranch. Do not feed the horses
without prior permission.
All dogs must be kept on a leash and away from the horses. Disruptive dogs will spook horses.
Please ensure all pasture gates are kept properly secured at all times.
Please respect our privacy as this is our home.
Maximum driveway speed is 10km/hr. The yard is subject to use by children, horses, dogs, cats, cattle, llamas and
who knows what else. There are usually critters loose in the yard in the summer to mow the lawn so please keep
the gate to the road closed at all times.
Please do not leave garbage around the yard and use garbage cans provided.
If a rider or a horse should fall, STOP all movement immediately. Make sure horse and rider are ok before
resuming your ride.
Especially for camps
Please behave polite and considerate towards other children as well as adults.
Unruly children will not be tolerated, failure to cooperate and follow the rules will result in a phone call to parents,
and they will be sent home!!!
Everyone is here to have fun so let’s keep it fun for everyone; picking on other campers will not be tolerated.
Thank you and let’s have lots of fun.
Iris
2014 Camp REGISTRATION FORM
Camp Prerequisites Two sessions at Colchester or some prior riding experience would be of benefit.
Camp Date: _____________________________
Name: _________________________________ Age (at camp date): ___________________
Phone #: _______________________________ E-mail: _________________________
Address: _______________________________________________________________
City: ___________________________________ Postal Code: _____________________
Parent 1 Name: ___________________________ Daytime Phone #: ________________
Parent 2 Name: ___________________________ Daytime Phone #: ________________
Emergency Contact: _______________________ Phone #: _______________________
Alberta Health Care #: _____________________________________________________
1. Are there any drug, environmental, or food allergies? ___________________________
2. Are there any medical conditions that we should support? ________________________
3. Does this rider have braces, mouth pieces or dentures? __________________________
4. Does this rider wear contact lenses or eyeglasses? ______________________________
5. Is this rider on any ongoing medications? ____________________________________
6. Will you be bringing/riding your own horse? __________________________________
Horses can be turned out in our pasture or in a pen, you must supply your own feed if you wish to keep
your horse in a pen.
Previous Riding Experience:
To register, mail form with cheque for full amount, postdated for July 1, 2014 for the July
camps, August 1, 2014 for the August camps, or hand directly to Iris.
Acknowledgement of RISK and RELEASE of LIABILITY –“For Participants Under 18 Years Old”--Please Print Clearly
Infant Participant’s Name: ______________________________ Date of Birth: __________________________________
Infant’s Address: _____________________________________ City: ______________ Prov: ____ Postal: _________
Guardian’s Name: ____________________________________ Date of Birth: _________________________________
Guardian’s Address: __________________________________ City: ______________ Prov: ____ Postal: _________
The Guardian must Read and Understand prior to the Infant Participating in Equine Activities
TO: New Horizon Ranch, 52073 Range Road 214, Sherwood Park, Alberta, T8E 1A1, Iris Rau, their agents,
employees, and volunteers. (all of them collectively called the HOST)
Initial each item below After Reading and Understanding the item
____1. I am the Parent and/or Legal Guardian of the infant Participant named above and am executing this form on
behalf of the infant Participant in my capacity as parent and/or guardian and with the intent that this form be binding
on myself and infant Participant for all legal purposes.
____2. I Understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with
Equine Activities and injuries resulting from these “RISKS” are a common occurrence.
____3. I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an
integral part of Equine Activities, including but not limited to:
The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or
around them and to potentially collide with, bite or kick other animals, people, or objects.
The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors,
vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.
The potential for other participant(s) to act in a negligent manner that might contribute to injury to
themselves or others, such as failing to act within their ability or to maintain control over an equine.
____4. I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal
injury, death, property damage or loss which might result from the infant being a Participant.
____5. I Acknowledge that it remains my Sole Responsibility for the safety of the infant Participant and for the infant to
Participate within his/her own limits.
____6. In addition to consideration given for the infant to Participate in Equine Activity, I and my heirs, executors,
administrators and assigns (collectively called my “Legal Representatives”) agree
To Waive All Claims that I or the infant Participant might have against the “HOST”; and
To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I, the
infant Participant or our “Legal Representatives” might suffer as a result of the infant’s Participation due to any
cause including any NEGLIGENCE ON THE PART OF THE “HOST”; and
To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or
personal injury to the infant Participant or to any third party which might result from the infant’s Participation.
____7. I acknowledge that I have read and understand the New Horizon Ranch farm rules, and agree to abide by them.
Before signing this form I read it (as indicated by my initials above) and I stated that I understand it. I further state I
am aware that signing this form, waives certain legal rights I and/or the infant Participant and/or our “Legal
Representatives” might have against the “HOST”.SIGNED This
day of
20
____________________________________________
(Print Name of HOST Witness to signing & Initialing)
_____________________________________________
(Signature of Participant)
_____________________________________________
(Signature Host Witness)
Do Not Sign until you Understand All Items Above
_____________________________________________
(Signature of Parent/Guardian)
Acknowledgement of RISK and RELEASE of LIABILITY –“For Participants 18 years or Older” --Please Print Clearly
Participant’s Name: ___________________________________ Date of Birth: _________________________________
Address: ___________________________________________ City: ______________ Prov: ____ Postal: _________
Every Person must Read and Understand this form before Participating in Equine Activities
TO: New Horizon Ranch, 52073 Range Road 214, Sherwood Park, Alberta, T8E 1A1, Iris Rau, their agents,
employees, and volunteers. (all of them collectively called the HOST)
Initial each item below After Reading and Understanding the item
____1. I Understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with
Equine Activities and injuries resulting from these “RISKS” are a common occurrence.
____2. I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an
integral part of Equine Activities, including but not limited to:
The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or
around them and to potentially collide with, bite or kick other animals, people, or objects.
The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors,
vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.
The potential for other participant (s) to act in a negligent manner that might contribute to injury to
themselves or others, such as failing to act within their ability or to maintain control over an equine.
____3. I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal
injury, death, property damage or loss resulting from my Participation in Equine Activities.
____4. I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own
safety and to Participate Within My Own Limits.
____5. In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors,
administrators and assigns (collectively called my “Legal Representatives”) agree
To Waive All Claims that I might have against the “HOST”; and
To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my
“Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any
NEGLIGENCE ON THE PART OF THE “HOST”; and
To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal
injury to any third party which might result from my Participation in Equine Activities.
____6. I acknowledge that I have read and understand the New Horizon Ranch Farm Rules, and agree to abide by them.
Before signing this form I read it (as indicated by my initials above) and I stated that I understand it. I know that
signing this form, waives certain legal rights I or my “Legal Representatives” might have against the “HOST”.
SIGNED This ______________ day of ___________________ 20 ___
___________________________________________________
(Print Name of HOST Witness to signing & Initialing)
___________________________________________________
(Signature of HOST Witness)
___________________________________________________
(Signature of Participant)
Do Not Sign until you Understand All Items Above
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