Rider Registration Form

Fill out this form to get a jump-start on registration! Once this form is submitted, we will contact you in regards to scheduling.

Note: There are additional forms that must be submitted depending on your riding program. Please refer to the able body riding, assisted riding, or beginner riding page for more information. If you are filling this form out for a special event, such as trail rides, escape room, etc, you must email ProgramDirector@hugahorse.com first to reserve a spot.

Once you fill out this form, you are free to pay your $30 annual membership fee if you’d like. The membership fee must be paid prior to beginning lessons.

Rider's Name

First Name

Last Name

Phone

(###)

###

####

Lesson/Event Type

Date of Birth

YYYY

Weight (lbs)

The maximum weight for riding is 200lb.

Height (inches)

Have you ever ridden and/or volunteered at Shady Hollow previously?

If so, when? If you were a rider, who was your instructor(s)?

What is your (the rider's) current level of experience? Please include how many years you have been riding, how long ago your last lesson was, and what skills you were working on (walk, trot, canter, jump)

Parent/Guardian (if under 18)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about us?

Photo Release

I consent to and authorize the use and reproduction by Shady Hollow Assisted Riding of any photographs and audio-visual materials taken of me for promotional material, educational activities, and exhibitions to benefit programs at SHAR. Type your name below to consent.

Liability Release

To participate in any program at Shady Hollow Assisted Riding, I acknowledge the risks and potential for risks of horseback riding and associated activities. However, I feel that the possible benefits are greater than the risk assumed. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors and administrators, waive and release forever all claims for damages against Shady Hollow Assisted Riding & Shady Hollow Farms, it’s owners, board of directors, instructors, therapists, volunteers and/or employees for any and all injuries and/or losses that may be sustained while participating in Shady Hollow Assisted Riding’s programs. For this privilege I have read and agree to comply with all rules posted on the property and agree to wear an ASTM/SEI approved helmet. Typing your name below indicates agreement.

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####