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Clover Valley Farm |
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Lesson Registration Form and Policies Please print out and fill in pages one and two, and bring them with you to your lesson. Please read carefully the lesson policies and price list. |
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Lesson Registration Form 2010
Rider’s Name ________________________________________________________Rider’s Age_____________________ Parent/Legal Guardian’s Name if Under 18 ________________________________________________________________ Address____________________________________ Town _______________________________ Zip _________________ Home Phone ___________________________________ Work or Cell Phone____________________________________ Emergency Name and # (to reach during riding time) _______________________________________________________ E-mail address ________________________________________________________________________________________ Health Care Provider/Insurance #: ________________________________________________________________________ Any medical information that may influence ability to horseback ride___________________________________________ Allergies/Health Conditions: ______________________________________________________________________________ We, the individuals listed above, in consideration of receiving permission from Clover Valley Farm (Donna and Charlie Wilbur) (the “Land Owners and Stable Operators”) to enter on the grounds of Clover Valley Farm (the “Premises”), the receipt of this permission which is acknowledged here, in order to utilize the Premises for equine activity, I hereby release and hold the Land Owners and Stable Operators, their respective agents, officers, servants and employees, and horse owners, of and from any and all liability, claims, demands, actions and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by any or each of the undersigned, or any property of any or each of the undersigned, or my employees, heirs, representatives, dependents, or guests, while in or on the Premises, or any premises leased to, owned by, sanctioned by, or under the control or supervision of the Land Owners and Operators, or en route to or from any of the premises. Each of the undersigned being duly aware of the "inherent risks of equine activities," dangers or conditions which are an integral part of equine activities (the “Inherent Risks”) elects voluntarily to enter on the premises, knowing their present condition and knowing that their condition may become more hazardous and dangerous during the time that each of the undersigned is on the premises. The "Inherent Risks” shall include, but are not limited to: (1) The propensity of equines to behave in ways that may result in injury, harm, or death to persons on or around them; (2) the unpredictability of an equine's reaction to such things as sounds, sudden movement, and unfamiliar objects, persons, or other animals; (3) certain hazards such as surface and subsurface conditions; (4) collisions with other equines or objects; (5) the potential of a participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the animal or not acting within his ability. Each of the undersigned voluntarily assumes all risks of loss, damage, or injury, including death, which may be sustained by any or each of the undersigned while in or on the Premises. This release is binding on the heirs, next of kin, executors, administrators and personal representatives of each of the undersigned. In signing this release, each of the undersigned acknowledges and represents that he or she: (a) has read the foregoing release, understands both this Release and the Inherent Risks, and signs this Release voluntarily on his or her own behalf or on behalf of a child or ward; (b) is eighteen years of age or older and of sound mind; (c) is not an agent, servant, or employee of the Land Owners or Operators; and (d) Any person participating in riding activities on the Premises shall be required to wear an approved safety helmet at all times. I, hereby grant Clover Valley Farm, or their agents, the right to seek any and all emergency treatment determined necessary to protect the health and well being of the above-named individual.
___________________________________________ _______________ Print Name ______________________________________ Signature of Rider or Parent/Guardian if under 18 Date
WARNING: Under Massachusetts law, an equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 2D of chapter 128 of the General Laws. Clover Valley Farm 132 Poquanticut Avenue North Easton, MA 02356 508-238-4493 clovervalleyriding@gmail.com www.clovervalleystables.com
(page 1)
Riding Experience Information Questionnaire 1. I consider myself to be a ______________________________ rider. Beginner, Advanced Beginner, Intermediate, Advanced
2. I am currently comfortable doing the following: (please circle all that apply to you):
I am not experienced in handling horses at all. Handling horses (leading, catching) Grooming Tacking/Untacking Mounting/Dismounting Walking Trotting or Jogging Posting to a Trot Cantering Identifying diagnols Identifying leads Jumping: Crossrails Verticals 2’0-2’3” Verticals 2’3”-2’6” Verticals over 2’6” Riding unassisted on a trail
3. Please provide a brief history of your riding experience.
4. Please list a goal or goals you have for yourself.
5. Any other information that will help us?
WARNING: Under Massachusetts law, an equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 2D of chapter 128 of the General Laws. Clover Valley Stables, L.L.C. 132 Poquanticut Avenue North Easton, MA 02356 508-238-4493 clovervalleystables@gmail.com www.clovervalleystables.com (page 2)
CLOVER VALLEY STABLES LESSON POLICIES 2009-Please read carefully.
Dear Clover Valley Students,
We are happy to be entering into another busy season of lessons and shows. Please fill out the attached registration form and release when you select your lesson time slot. Michelle Levanitis and Cristin Wilbur are our instructors, both of whom are licensed and insured. Periodically, you may have a fill-in instructor who is also licensed and insured. Jessica Phillips is an assistant instructor and will also be instructing.
Lessons are horsemanship lessons as well as riding, which means the students learn how to tack and untack their horse, as well as grooming and handling basics. Students will be supervised tacking and untacking by their instructor as part of their lesson time until they are able to do it themselves, at which point they can come and get their horse ready to be in the ring at their designated lesson time. Your instructor will let you know if you are ready to tack the horse yourself. Otherwise, you will be supervised by the instructor as part of your lesson, and then you will go out into the ring together. It is your instructor’s decision which horse you ride and at what rate you progress. We do our best to match each rider to a horse that meets his or her needs. We believe in safe, fun learning, and will do our best to ensure your lessons are productive and enjoyable. Please arrive a few minutes early for your lesson and check in with your instructor to find out who you are riding and what you have to do to get ready. If you are late, the time will be taken out of your lesson as we cannot delay the lessons after yours.
Horses are not to be left alone on crossties! Please sweep your grooming area before and after you ride. Please put your brushes and other items off to the side or hung up neatly while you are out riding, and put everything away in its designated place when you’re done. Try to wipe down your tack and rinse the bit if possible.
Proper Attire for Lessons: Students must come properly dressed for their lessons. If your instructor determines that your attire is unsafe, you may need to change or may not be able to ride that day. · Pants: long pants, preferably riding pants or chaps. Pants should fit snugly. · Shirts should be tucked in and not too baggy. Tank tops must be a sport-type tank top with proper coverage—no spaghetti straps! · Jackets must be hip-length or shorter. They must be zipped during riding. Jackets should not have floppy hoods (no hood is better). · ALL RIDERS must have proper footwear: riding boots with a smooth sole and low heel (about 1/2 in. heel) that fit well and go over your ankle. Work boots with tread on the bottom are not appropriate. Sneakers must not be worn. · Hair must be tied back neatly in a low pony tail or braids. No jewelry. · Riders should have riding gloves. Winter gloves are lined and have grips on the palms and fingers. · Summer gloves are lightweight and also have grips. · Riders should also purchase their own approved safety helmet. We do have some to borrow in the beginning but after a few lessons you should have your own.
Visitors/Other Family Members: If you bring visitors, siblings, or other family members with you to the barn, they must adhere to all barn policies and etiquette. The barn is a busy place with lots of potentially dangerous situations. Please bring visitors at your discretion and ensure that they do not disrupt the barn or lessons. Visitors should wait/watch from the picnic tables or benches, and must not be unsupervised in the barn. While visitors are watching lessons, they must not be disruptive (no yelling, running, throwing balls, etc) as this is distracting and possibly spooky for the horses. Please watch out at all times for horses coming through or equipment. It is your responsibility to maintain your safety while on the property. NO DOGS on Clover Valley property at any time!
Cancellation Policy: Because we do not have an indoor, Clover Valley may need to cancel lessons due to weather conditions, or on occasion, horse conditions. Your instructor will contact you in a timely manner if the lesson is to be canceled. There is no charge to you if we cancel the lesson. If you are unsure about weather conditions, please call a few hours before your lesson to inquire.
If you must cancel for any reason, the cancellation policy is as follows: · 24 hours before start time of lesson: no cancellation charge · Same day cancellation more than 2 hours before lesson: $15 cancellation fee · Same day cancellation 2 hours or less from start time of lesson: $25 cancellation fee
Your cancellation fee must be included with your next lesson’s payment. In addition, if you don’t show up for your lesson time for two weeks in a row, without proper notification from you, your slot will be given away to someone else.
Emergency Contacts: Please provide a name and phone number of an emergency contact that we can reach during your lesson time. While we maintain safety as a priority at all times, there are inherent risks with being around horses. We must be able to reach you if necessary. Thank you! We are looking forward to a busy season!
Clover Valley Stables
WARNING: Under Massachusetts law, an equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 2D of chapter 128 of the General Laws. Clover Valley Stables, L.L.C. 132 Poquanticut Avenue North Easton, MA 02356 508-238-4493 clovervalleystables@gmail.com www.clovervalleystables.com
Clover Valley Lesson Prices-Effective April 1, 2007
Boarder Lessons/Lessons on Leased Horses 1 hour private Boarder on their own or leased horse $45 1/2 hour private Boarder on their own or leased horse $35 1 hour semi-private or group $35 per rider (Boarder’s lessons and lessons on leased horses: checks should be made payable directly to your instructor).
Lessons on School Horses 1 hour private on School Horse $50 (Please note that if the student requires help tacking up, this is about 45 minutes of riding time and 15 minutes of tack up/cool out with instructor’s supervision).
1/2 hour private on a School Horse $40 (Please note that students can only book a half-hour lesson if the student is able to tack/untack unsupervised—approval of instructor required).
1 hour semi-private or group $40 per rider on a school horse (must be able to ride off a lunge line—requires approval of instructor).
Practice Ride $20 -1 hour practice ride on school horse. Approval of instructor required and appointment necessary.
Young Horse Lover’s Lesson: 1/2 hour Beginner Lesson/Pony Ride (ages 4-6 only) $35 (This is about 15 minutes of riding time and 15 minutes of learning grooming, safety, leading of pony).
Checks are to be made payable to Clover Valley and are due in full at the time of the lesson. |
