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Horseback Riding Consent Form

This document is a consent form for horseback riding at Sunset Lake Camp, acknowledging the risks involved in the activity and requiring parental consent for participation. It outlines the participant code of conduct, appropriate clothing, and health history questions to ensure safety. Participants must sign to confirm their understanding and assumption of the risks associated with horseback riding.

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59 views1 page

Horseback Riding Consent Form

This document is a consent form for horseback riding at Sunset Lake Camp, acknowledging the risks involved in the activity and requiring parental consent for participation. It outlines the participant code of conduct, appropriate clothing, and health history questions to ensure safety. Participants must sign to confirm their understanding and assumption of the risks associated with horseback riding.

Uploaded by

hcphfzxgng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

HORSEBACK RIDING CONSENT FORM

Family Name_____________________________________________________________________
(Please Print)
CONSENT AND ASSUMPTION OF RISK FOR
HORSEBACK RIDING
We are fully informed of the risks associated with horseback riding and it is our desire to participate in the horsemanship program at
Sunset Lake Camp. We hereby knowingly and intelligently assume the risks for harm and/or bodily injury to our persons or property
that are associated with or arise out of the activity. We are fully aware that it is possible for us to receive injuries to our bodies which
would be permanently disabling or could even cause us to die as a result of: 1) being kicked, bitten or stepped upon by a horse, 2)
falling off a horse, 3) being crushed between a horse and another object, 4) having a horse fall on us, and 5) by any of many accidents
that could happen from being around horses or places where horses are kept. We promise to abide by the camp rules, which are
designed for our safety. If a parental signature is not present, the campers will not be able to participate in this activity

PARTICIPANT CODE OF CONDUCT


• Show respect to other participants and Sunset Lake staff, and cooperate fully with
wrangler instructions
• Use program equipment, supplies, and facilities properly
APPROPRIATE CLOTHING
Long pants, and closed toed, full coverage shoes. (no Crocs, toe shoes, ballet flats, Keens, etc.)

Absolutely no jewelry of any type for safety reasons. Please remove this before coming.

HEALTH HISTORY

Yes No
❏ ❏ Has or does the participant have a chronic or recurring illness, surgery, or
mental health concerns that could affect their participation? If “Yes”, or other
concerns, please explain:
❏ ❏ Does the participant have the physical strength and mobility to mount, ride
and dismount on their own (with the aid of a mounting block and
instruction)?
❏ ❏ The rider is at least three years old and under 250 pounds.
NAME:_________________________________________________ _________________________________________________

I understand and assume the risk of horseback riding.

Signature: __________________________________________ Date: __________________

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