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 208-265-2644 MST    Toll Free 866-904-0111

Contact Sam!
sam@learnhorses.com
ID 208-265-2644
Toll Free 866-904-0111

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www.learnhorses.com

 

Clinic Registration

 Clinic Participant Information

Please print these pages and then fill out one form per person/horse combination or auditor.  Place a check mark next to all appropriate boxes. Please Mail Completed Participant Information, Horse Information, Liability Waiver, Clinic Session Sign Up Sheet and Check to (Check payable "TEC"):
 

The Equestrian Center, LLC
55 Trotter Lane
Sandpoint, ID 83864

 

QUESTIONS????   EMAIL   or  Call Toll Free  866-904-0111

Name:______________________________________________ Age: (If minor)______

Address:________________________________________________________________
              (Street)                                   (City)                               (State)              (Zip Code)

Phone:_______________________________________________________________
               (Home)                                              (Work)                                (Cell)

Email:______________________________________________  Fax:______________

Emergency Contact:_____________________________________________________
                                    (Name)                                                               (Phone)

Insurance:____________________________________________________________ 
                      (Carrier)                                                          (Policy Number)

Medical

Medical Conditions:____________________________________________________
                                (Anything you currently or in the past five years have suffered from.)

Allergies:____________________________________________________________

Physical Limitations:____________________________________________________

Recent horse related accidents?____________________________________________

Riding Experience

Experience with horses:_______(yrs)

Riding Interest:_______________________________________________________

Riding Level:_________________________________________________________

Current Goals:________________________________________________________

Future Goals:_________________________________________________________

Frequency of riding/handling horses:_____________/wk

Please tell us about your current riding/horse situation:

___________________________________________________________________

Any other additional information you’d like us to know:

_____________________________________________________________________

 

 

Horse Information­

Horse Name:_________________________________________________________

Age:____________  Breed:_____________________________ Sex:_____________

Horse Owner's Name:__________________________________________________

Owner's Address:_____________________________________________________

Owner's Phone:______________________Email:_____________________________

Used for what discipline:________________________________________________

Experience level:______________________________________________________

Vices:______________________________________________________________

Veterinarian:_________________________________________________________
                                     (Name)                                                        (Phone)

Any recent injuries or health concerns?____________________________________

Date of most recent:
Immunizations-______________________________________________________
                        (What)                                                              (When)

Worming-__________________________________________________________
                       (What)                                                              (When)

Trim/shod-_________________________________________________________

Please tell us how long you have had your horse, any issues or concerns you have about your horse, and any goals you have for your horse: __________________________________________________________________

Additional Information:________________________________________________

Will stabling be necessary?________________________

Would you prefer a 12’x12’ corral or shared pasture?__________________

Please read and initial each of the following sections:

Stabling must be reserved ahead of time.  All horses entering TEC must be current on their vaccinations and shoeing schedule.  _______
 
All horses arriving from out of state need proof of a current Coggins and Health Certificate.  ______
 
Please be respectful of the facility: there is NO SMOKING at any time at TEC; all dogs must be well behaved, leashed if necessary, and cleaned up after; if using camping area you must take all trash with you.  ________

_______________________________________________________             ________________
Participant Signature                                                                                                     Date

______________________________________________________                 ________________
Parent/Guardian Signature if Participant is a Minor                                                    Date

 

 

 

Liability Waivers & TEC Rules

RELEASE OF LIABILITY OWNER/RIDER

            WITNESS THIS AGREEMENT this ______ day of _________________, 20__, by and between the Equestrian Center, LLC_, hereinafter referred to as MANAGER and ________________________, hereinafter referred to as RIDER.  For consideration received, and in return for the use, today and on all future dates of the property, facilities and services of Manager, Rider, Rider's heirs, assigns, and representatives hereby agree as follows:

            1.         Inherent Risks and Assumption of Risk.  The undersigned acknowledges there are inherent risks associated with equine activities such as described below, and hereby expressly assumes all risks associated with participating in such activities.   The inherent risks include, but are not limited to the propensity of equines to behave in ways such as, running, bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or around them; the unpredictability of equine's reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; certain hazards such as surface and subsurface conditions; collisions with other animals; the limited availability of emergency medical care; and 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 such participant's ability.

            Rider acknowledges that horses, by their very nature are unpredictable and subject to animal whim.  Rider assumes all risks in connection therewith, and expressly waives any claims for any injury or loss arising there from.  Rider agrees to abide by and follow Manager's rules and regulations which, shall be posted and/or available from time to time.  Rider further acknowledges that the behavior of any animal is contingent to some extent upon the ability of Rider.  Rider assumes all risks therefore and warrants a full and fair disclosure of Rider's abilities has been made to Manager.

            Rider expressly releases Manager from any and all claims for personal injury or property damage, even if caused by negligence (if allowed by the laws of this State) by Manager or its representatives, agents or employees.

            Warning:  Under Idaho Law, an equine activity sponsor or an equine professional shall not be liable for any injury to or the death of a participant or equine engaged in an equine activity except in very limited situations.

            2.         Rider agrees to hold harmless, indemnify and defend Manager against, and hold harmless from, any and all claims, demands, causes of action, damages, judgments, orders, costs or expenses, including attorney's fees, whether actually incurred or not, which may in any way arise from or be in any way connected with Rider's use of or presence upon the property of Manager and the facilities located thereon.

            3.         In the event Rider is using Rider's own horse, or a horse(s) not owned by Manager, Rider warrants said horse(s) shall be free from infection, contagious or transmittable diseases.  Manager reserves the right to refuse access or use of any horse upon the premises that does not appear to Manager to be in good health, or is deemed dangerous or undesirable.

            4.         Rider agrees to waive the protection of any applicable statutes in this 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 said release.

 

_________________________________________   _____________

Rider Signature                                                                     Date

 

FACILITY USE AGREEMENT

            WITNESS THIS AGREEMENT this ______ day of _________________, 20__, by and between the Equestrian Center, LLC, hereinafter referred to as "Farm," and ____________________________, hereinafter referred to as "User."

            WHEREAS, Farm is the Owner of a certain commercial stable located in Sandpoint, Idaho, known as TEC, AND, WHEREAS, User desires to conduct a horse show and/or clinic for the purpose of giving riding lessons and/or equine exhibitions open to the public.

            Inherent Risks and Assumption of Risk.  The undersigned acknowledges there are inherent risks associated with equine activities such as described below, and hereby expressly assumes all risks associated with participating in such activities.   The inherent risks include, but are not limited to the propensity of equines to behave in ways such as, running, bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or around them; the unpredictability of equine’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; certain hazards such as surface and subsurface conditions; collisions with other animals; the limited availability of emergency medical care; and 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 such participants ability.

                        User expressly releases Farm from any and all claims for personal injury or property damage, even if caused by negligence (if allowed by the laws of this State) by Farm or its representatives, agents or employer

             Warning:  Under Idaho Law, an equine activity sponsor or an equine professional shall not be liable for any injury to or the death of a participant or equine engaged in an equine activity except in very limited situations.

USER FURTHER AGREES TO HOLD FARM HARMLESS AND DEFEND IT FROM ANY AND ALL CLAIMS, DEMANDS, JUDGMENTS, ORDERS, OR LIABILITY WHATSOEVER ARISING AS A PROXIMATE RESULT OF ANY ACTIVITY OF USER, USERS AGENTS, EMPLOYEES AND REPRESENTATIVES ON PREMISES OF FARM.

            Farm reserves the right to refuse access or use of any horse upon the premises that does not appear to Farm to be in good health, or is deemed dangerous or undesirable.

       _________________________________________________      ___________________

              Participant Signature                                                              Date

 

The Equestrian Center Facility RULES
All riders must sign a liability waiver before they mount their horse.
All riders are required to wear helmets at all times while mounted.
NO SMOKING at any time.
Owner must clean up all horse’s manure and hay.
Horses can be tied to trailers or you can set up portable pens.
Riders must be supervised in the clinic setting at all times (i.e. riders cannot use other arenas on their own.)
All dogs MUST be on a leash at ALL times.
A parent or legal guardian MUST accompany minors at ALL times.
I have read and agree to adhere to The Equestrian Center Rules.

       _________________________________                      __________
             Participant Signature                                                         Date

 

 

AUTHORIZATION TO OBTAIN MEDICALTREATMENT FOR MINOR CHILD

            WITNESS THIS AGREEMENT AND AUTHORIZATION by and between the EQUESTRIAN CENTER, LLC, hereinafter referred to as "Management," and ________________________________, hereinafter referred to as "Parent."

            Management is hereby authorized to obtain any and all medical treatment Management deems reasonably necessary for my minor child and/or children.

            Parent or guardian agrees to bear any cost connected therewith and shall pay promptly upon billing by the health care provider.  Management shall incur no financial liability for medical treatment obtained pursuant to this authorization.

Name(s) of child(ren) ____________________________________________________________________

Social Security No. ____________________________________________________________________­

­Health Insurance Carrier: ____________________________________________________________________

­Plan or Identification No. ____________________________________________________________________

­Signature of Parent or Guardian_____________________________________ Date______________________­

 

 

Full Immersion Clinic Participant Fee

$600 for 3 Day Clinic- Paid In Full

$300 is 50% Nonrefundable Deposit- Remainder due prior to start of clinic

 

How to Register for a Full Immersion Clinic:

A 50% nonrefundable deposit is required to secure a spot.  You may either send a check payable to

"The Equestrian Center LLC"

and mail to

TEC 55 Trotter Lane, Sandpoint, ID 83864

 

Or you can you pay via PayPal below.

 

To pay IN FULL for a clinic click the button.

 

 

 

 

 

In the "Note to Seller" section please indicate which clinic dates you are registering for.

 

To pay a 50% nonrefundable deposit for a clinic click the button.

 

 

 

 

 

In the "Note to Seller" section please indicate which clinic dates you are registering for.

 

 

Private Individualized Clinic Weekends

$500/person/horse- Saturday & Sunday - Paid In Full

$250 is nonrefundable 50% deposit to reserve weekend- Remainder due prior to start of clinic

 

How to register for a Private Individualized Clinic Weekends

Please send an email with three date options BEFORE you make a deposit on a weekend to confirm availability.

A 50% nonrefundable deposit is required to secure a spot.  You may either send a check payable to

"The Equestrian Center LLC"  and mail to:  TEC 55 Trotter Lane, Sandpoint, ID 83864­­

To pay in FULL for private clinic click the link below.               To pay a nonrefundable deposit for a private clinic click

                                                                                         the link below.

 

 

 

 

 

In the "Note to Seller" section please indicate which clinic dates you are registering for.­

 

Once your payment has been recieved, we will send you a confirmation email.  Thank you and I look forward to working with you and your horse!