Clarity Equine - Riding Lesson Registration

Participants' First Name

Participants'Last Name

Participant's or Guardian's Phone

Participant's or Guardian's Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday

Year

Month

Day

Health Card Number

Guardian/Emergency Contact Information (Name/Contact)

Does the participant have any allergies? Is an Epi-pen required? Please list all necessary.

Does the participant have any medical issues? Medication?

Does the participant have any known learning and of physical limitations? Please list:

Please tell us briefly of participants past riding experience:

Anything else we should know?

Riding Lessons

Please be aware that lesson availability may be limited. Clarity Equine will contact you directly to inform you of current openings and scheduling options.

Once approved, payment can be sent to:

heckbert.ca@gmail.com

Recommended Attire for Your Safety and Comfort:

Footwear: Sturdy boots with a low (1-inch) heel are essential. This provides stability and foot protection. Please avoid open-toed shoes or sandals.
Legwear: Full-length pants, such as jeans, are highly recommended to protect your legs.
Upper Body: Dress in layers appropriate for the weather. Consider a long-sleeved shirt and a jacket or sweater that allows for freedom of movement.
Head Protection: An ASTM/SEI certified riding helmet is mandatory. For your initial lessons, helmets are conveniently available on-site.
Important: Please wear clothing you don't mind getting dusty or dirty.

Policies

Please review and confirm your agreement by checking off the following non-negotiable policies.

Payment policy – Payment is due upon registraion.

Helmet policy - All individuals under 18 are required to have an ASTM/SEI certified helmet.

Lost or stolen policy – Double M Farms will NOT be held responsible for any lost or stolen items.

Mandatory Waiver: All participants, or their legal guardians if applicable, must complete a waiver before participating in any activities at Double M Farms. Waivers are available on-site or can be requested via email. Participation is contingent upon receipt of a completed waiver.

Media Release

Do you give permission to have pictures and videos posted to our website and social media pages?

Yes, I give permission

No, I don't give permission

8 Week Session Pricing

Please select your preferred lesson type and review payment options. Lesson type is subject to experience level and participant matching.

Important Notes Regarding Lesson Type

Lesson type (private or group) will be confirmed after assessing the participant's experience level and matching with suitable group participants, if applicable. We will contact you to discuss the best lesson option for your experience and availability.

Lesson Type (Subject to Experience & Participant Matching):

Private Lessons (8 Weeks): $480.00

Group Lessons (8 Weeks): $400.00

Payment Options

Deposit (Required): $100.00 (Due upon registration to hold your spot)

Remaining Balance (Due one week prior to start date]):

Private Lessons: $380.00

Group Lessons: $300.00

Filled out Date

Year

Month

Day

When would you be interested in beginning?