Horse Rider Badge Clinic

Junior Girl Scouts
Horse Rider Badge Clinic
Briar Gate Farm
The activities below will satisfy the requirements for the Horse Rider Badge. It is divided
into two sessions; one ground-work and one mounted. Each participant will receive printed
materials and a certificate of completion at the end. A minimum of 3 participants is required
for each session; maximum is 6.
Cost: $40 per participant (includes both sessions)
25% discount for groups of 4 or more
Scholarships available
Session I: 1 – 1 ½ hours; ground-work
Get Ready to Ride:
- Practice saddling and bridling a horse
- Learn about each part of horse tack
- Find out how to tie a safety knot and hitch a horse
Equipment Expert:
- Learn about various styles of saddles, bridles and bits
- Help clean some of our tack
- Receive a tack shop catalog
Clips, Combs, and More:
- Examine tools used to groom a horse and learn the purpose of each
- Practice grooming a horse
- Review safe stall and barn behavior
Horse Anatomy:
- Learn the principal parts of a horse
- Find out how common horse ailments can be prevented
Session II: 1 – 1 ½ hours; mounted
In Good Form:
- Learn to mount and dismount correctly
- Practice turning and stopping a horse at the walk and trot
Horses, Safety and You:
- Learn safety regulations and equestrian etiquette
- Practice an emergency dismount
- Discover what to do if your horse rears, trips, bucks, stops or bolts
Briar Gate Farm 11227 N. 66th St. Longmont, CO 80503 303-485-7885
Registration Form
Junior Girl Scouts
Horse Rider Badge Clinic
Name: ____________________________________________
Parent’s Name: ______________________________
Age: _________________
Phone #:_______________________
Address: ___________________________________ Cell Phone #: ____________________
Date and Time Requested for Session I: __________________________________________
Date and Time Requested for Session II: _________________________________________
Emergency Contact During Clinic: _______________________________________
Food or other Allergies? ___ No
___ Yes ___________________________________
May we use photos of your child during the clinic for our website or in other promotional
materials? ___ Yes ___ No
Cost: $35 (includes both sessions)
25% discount for groups of 4 or more
Mail payment to:
Briar Gate Farm
11227 N. 66th St.
Longmont, CO 80503
Make checks payable to Briar Gate Farm.
----------------------------------------------------------------------------------------------------------------Office Use Only
Amount due: _________________
Payment Received: ________________
Check #: _____________
Briar Gate Farm
Junior Girl Scout Horse Rider Badge Clinic
Release of Liability
Under Colorado Law, an equine professional is not liable for the injury to or the
death of a participant in equine activities resulting from the inherent risks of
equine activities, pursuant to section 13-21-119, Colorado Revised Statutes.
This RELEASE of LIABILITY is made and entered into on this _____ day of ________ , 20
____, by and between _____Kate Johnson__________, hereinafter designated
INSTRUCTOR and _____________________________________ hereinafter designated
RIDER, and if RIDER is a minor, RIDER’s parent or guardian,
__________________________. In return for the use, today and on all future dates of the
property, facilities and services of the INSTRUCTOR, the RIDER, his/her heirs, assigns, and
legal representatives, hereby expressly agree to the following:
PROPERTY AND FACILITIES including, without limitation but not limited to,
the risks of death, bodily injury, property damage, falls, kicks, bites, collisions
with vehicles, horses or stationary objects, fire or explosion, the unavailability of
emergency medical care, or the negligence or deliberate act of another person.
RIDER agrees to hold INSTRUCTOR and all of its successors, assigns,
subsidiaries, affiliates, officers, directors, employees and agents completely
harmless and not liable and release them from all liability whatsoever and
AGREES NOT TO SUE them on account of or in connection with any claims,
causes of action, injuries, damages, cost or expenses arising out of RIDER’s use of
or presence upon INSTRUCTOR’s property and facilities, including without
limitation, those based on death, bodily injury, property damage, including
consequential damages, except if the damages are caused by the direct, willful and
wanton negligence of the INSTRUCTOR.
RIDER agrees to waive the protection afforded by any statute or law in any
jurisdiction whose purpose, substance and/or effect is to provide that a general
release shall not extend to claims, material or otherwise, which the person giving
the release does not know or suspect to exist at the time of executing the release.
RIDER agrees to indemnify and defend INSTRUCTOR against, and hold it
harmless from, any and all claims, causes of action, damages, judgements, costs or
expenses, including attorney’s fees, which in any way arise from the RIDER’s use
of or presence upon the INSTRUCTOR’s property and facilities.
5. RIDER agrees to abide by all of INSTRUCTOR’s safety rules and regulations
including but not limited to:
* Riders must wear a securely-fastened helmet
* Riders must wear long pants or jeans and boots or a shoe with a heel
* Riders shall not enter a horse’s stall or paddock area without the instructor’s
* Riders shall not mount any horse without instructor’s permission
* Do not feed the horses unless approved by instructor
* No running, jumping or yelling around the horses
This contract is non-assignable and non-transferable and is made and entered into
the State of Colorado, and shall be enforced and interpreted under the laws of this
state. Should any clause be in conflict with State Law, then that clause is null and
void. When the INSTRUCTOR and RIDER and RIDER’s parent or guardian, if
RIDER is a minor, sign this contract, it will then be binding on both parties,
subject to the above terms and conditions.
6. In the event of a medical emergency and if the parent cannot be reached,
will seek appropriate medical attention including calling 911 or driving the child to
a medical facility.
INSTRUCTOR’s Signature
RIDER’s Signature
RIDER’s Parent or Guardian (If RIDER is a minor.)