Current Rider Registration & Release Form

At HorseSense, we are continually trying to improve our programs and to offer even better lessons.  One of the improvements we are looking to instate this year is offering lesson times based on riding skill levels.  We believe this will better serve our riders by offering more challenging lessons that are better aimed at each individual’s goals and riding abilities. In placing riders with other riders of similar skill levels, we are hoping to provide an even better lesson environment.  We will be providing take home progress reports assessing and recording riders achievements are after each session.


Our goal is to assign each level a color, like a karate belt system. Below you will find the color descriptions for each level.

 

 

YELLOW level:

Mount with assistance

Use assistance of 2 sidewalkers

Uses verbal or hand cues

 

ORANGE level:

Spotters at walk

Uses reins to control horse

Little assistance at trot

 

 

WHITE level:

May use 1 or 2 sidewalkers

Can tell horse to walk and trot

Use reins for most activities

 

BROWN level:

Independent at the walk

Learning rein use at the trot

Learning use of legs and hands

 

 

RED level:

Learning trot independence

Learning use of legs and weight

Completely independent at walk



 

 

BLUE level:

Starting to trot independently

Knows sitting and posting trot

Using legs in steering



 

If you have been a past rider, you should have recived and e-mail from our Operations Manager (Ashley) about what color your rider would fall under. If you HAVE NOT RECIEVED ONE, please let us know as soon as possible as to assure you a spot in the program. Please e-mail info@hssr.org

 

If you prefer to hand in a hard copy, please complete and submit the following form or print this form CurrentRidersReleaseFINAL2017-2.pdf and send it to PO Box 906 La Crosse, WI 54601. Leave NO spaces blank.

Enter your e-mail address if you would like to receive information, news, and announcements about HorseSense for Special Riders via e-mail.
Emergency Information
Insurance Information

Riders are now able to register for more than 1 session. Please register accordingly.

Payment
BY SIGNING I ACKNOWLEDGE THAT I HAVE READ. FULLY UNDERSTAND AND AGREE TO BE BOUND BY THE PROVISIONS OF THIS REGISTRATION & RELEASE (SEE BELOW).

*By submitting this form, I hereby request permission for the above named applicant (hereafter referred to as the "Participant") to participate In HorseSense for Special Riders.
*I represent and warrant to you that the Participant is physically and mentally able to participate in HorseSense for Special Riders.
*I acknowledge that the Participant will be using Facilities at his or her own risk.
*I specifically grant permission to you to use the likeness, voice and words of the Participant in television, radio, films, newspapers, magazines and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of HorseSense for Special Riders.
*I hereby authorize HorseSense for Special Riders to take such measures and arrange for such medical and hospital treatment as may be deemed advisable for the health and well-being of the Participant in the event the Participant becomes ill or injured at any HorseSense for Special Riders activity and no responsible adult authorized to act on the Participant's behalf is immediately available to be consulted as to appropriate medical care for the Participant.
* In consideration of receiving permission from HorseSense for Special Riders, Inc. ("Sub lessee"), Red Horse Heights (collectively the "Stable") to enter on the premises of the Stable located at N3046 CTY Rd. FA, La Crosse, Wisconsin, the receipt of which permission is acknowledged, and in consideration of receiving permission to participate in any activities sponsored by or on the premises of the Stable, or to use or otherwise obtain any services or goods offered or sold by, or on the premises of the Stable, the receipt of such permission being also acknowledged, each of the undersigned, individually and on behalf of the undersigned's family, guests and invitees, releases the Stable, its owners, officers, agents, servants and employees of and from any and all liability, claims, demands, actions and causes of action whatsoever, arising out or relating to any loss, damage or injury, including death, that may be sustained by any or each of the undersigned and the undersigned's family, guests and invitees or any property of each of the undersigned and the undersigned's family, guests and invitees while in or on the premises of the Stable, or any premises leased to, owned by, sanctioned by, or under the control or supervision of the Stable, or in route to or from any of the premises.
*Each of the undersigned, individually and on behalf of the undersigned's family, guests and invitees, being aware of the risks and hazards inherent entering on the premises of the Stable or participating in any activities on or around horses, elects voluntarily to enter on the premises of the Stable, knowing their present condition and knowing that their condition may become hazardous and dangerous during the time that each of the undersigned and the undersigned's family, guests and invitees is on the premises of the Stable. Each of the undersigned, individually and on behalf of the undersigned's family, guests and invitees, voluntarily assumes all risks of loss, damage or injury, including death, that may be sustained by any or each of the undersigned and the undersigned's family, guests and invitees while in or on the premises.
*This release is binding on the undersigned and the undersigned's family, guests and invitees, and their respective heirs, executors, administrators, personal representatives and assigns. In signing this release, each of the undersigned acknowledges and represents that he or she: (1) Has read the foregoing release, understands it and signs it voluntarily; (2) Is 18 years of age or older and of sound mind; (3) Is not an agent, servant or employee of the Stable; (4) Has authority to sign this Release for the undersigned's family, guests and invitees; (5) Will indemnify and hold harmless the Stable for any and all costs and expenses, including attorney's fees arising out of any matters released hereunder.

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