NORTH SHORE EQUESTRIAN CENTRE
SEPTEMBER 2015 – JUNE 2016 REGISTRATION FORM
ALL PAGES MUST BE FILLED OUT & SUBMITTED IN ORDER TO COMPLETE REGISTRATION.
We realize some students will be away for all or part of the summer. To ensure a smooth start for the fall session, please submit the form by August 1st, 2015. All accounts must be paid in full at the end of June and this form must be accompanied by a deposit cheque in the amount of $240.00 post-dated to September 2nd (or a credit card pre-authorization sheet must be filled out and handed in with this form) to be put towards your account.
This form is necessary for ALL students who wish to ride with us in September. We will do our best to accommodate your schedules and preferences. Flexibility in days and/or times would be appreciated. The 1st day of lessons will be on Wednesday, September 2nd 2015. There will be no classes on Labour Day weekend.
Private/Semi-private:Monday through Friday – 9am, 10am, 11am, 12pm, 1pm, 2pm & 3pm
Group Lesson Times:Monday through Friday – 4:15pm, 5:15pm, 6:15pm & 7pm.
Saturdays and Sundays – 9:00am, 10:00am, 11:00am, 12:00pm, 1:00 pm, 2:00pm, 3:00pm, 4:00pm, 5:00pm & 6:00pm
Tentative Fall Instructor Schedule for Group Lessons:
MONDAY-Lauren Woods (4:15pm-7pm)
TUESDAY-Tara Mobbs (4:15pm-7pm)
WEDNESDAY-Lauren Woods (4:15pm-7pm)
THURSDAY-Diana Wade (4:15pm-7pm)
FRIDAY-Diana Wade (4:15pm-7pm) & Lauren Woods (4:15pm-7pm)
SATURDAY-Lauren Woods (9am-1pm) & Alexis Morton (2pm-6pm)
SUNDAY-Kelly Donaldson (9am-1pm) & Lauren Woods (2pm-6pm)
*INDICATES REQUIRED INFORMATION. PLEASE PRINT CLEARLY.
*RIDER’S NAME: *AGE:
*RETURNING STUDENT: YES: NO:
*PARENT(S)’ NAME(S):
*STREET ADDRESS:
*CITY: *POSTAL CODE:
*EMAIL ADDRESS: (FOR OFFICE USE ONLY)
*Please note that all invoices, notices and any important information regarding lessons will be sent to this email address
* PHONE: HOME: WORK: CEL:
*PAST RIDING EXPERIENCE/LEVEL:
*NUMBER OF LESSONS WANTED PER WEEK:______PREFERRED INSTRUCTOR:
*AVAILABLE TIMES: *AVAILABLE DAYS:
An email will be sent out to confirm lesson days & times in August
NEW STUDENTS PLEASE NOTE: YOU WILL BE BOOKED IN GROUP LESSONS THROUGH TO THE END OF JUNE 2016. WE REQUIRE A COMMITMENT OF AT LEAST 4 MONTHS OF LESSONS AND TWO WEEKS NOTICE OF TERMINATION OF LESSONS OR THERE WILL BE A CANCELLATION FEE. THERE WILL BE 3-4 MANDATORY “STABLE MANAGEMENT” LESSONS THROUGH OUT THE YEAR. IF YOU CANNOT MAKE ONE OF THESE LESSONS, IT MUST BE MADE UP DURING THE NEXT AVAILABLE STABLE MANAGEMENT WEEK OR A MISS FEE OF ½ THE REGULAR LESSON COST WILL BE APPLIED.
ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY (AR-0103)
For Participants Under the Age of Majority in the Province or Territory in which Equine Activities are Provided by the Host
WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY!
The Parent/Guardian Must Read and Understand this Waiver Prior to Infant Participating in Equine Activities
The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this agreement are entered into by me on behalf of the Infant Participant named below with and for the benefit of: North Shore Equestrian Center Ltd, its directors, officers, employees, volunteers, business operators, agents, and site property owners or lessees (the “Host”). Without limiting the generality of the foregoing, “Equine Activities” includes but is not limited to trail rides, pack trips, or riding instruction provided by the “Host” to the Infant Participant.
Initial Each Item below after Reading and Understanding each item:
1. I am the Parent/Guardian of the Infant Participant and am executing this waiver on behalf of the Infant Participant in my capacity as Parent/Guardian and with the intent that this waiver be binding on myself and the Infant Participant for all legal purposes.
2. I am aware that there are inherent dangers, hazards and risks (“Risks”) associated with “Equine Activities” and injuries resulting from these “Risks” are a common occurrence. I am aware that the “Risks” of “Equine Activities” mean those dangerous conditions which are an integral part of “Equine Activities”, including but not limited to:
(a) the propensity of any equine to behave in ways that may result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people or objects;
(b) the unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects; and
(c) the potential for other participants to behave in a negligent manner that may contribute to injury to themselves or others, including failing to act within their abilities to maintain control over an equine.
3. I freely accept and assume all responsibility for all “Risks” and possibilities of any and all personal injury, death, property damage or loss resulting from the Infant Participant’s participation in “Equine Activities”.
4. I agree that although the “Host” has taken steps to reduce the “Risks” and increase the safety of the “Equine Activities”, it is not possible for the “Host” to make the “Equine Activities” completely safe. I accept these “Risks” and agree to the terms of this waiver on behalf of the Infant Participant, even if the “Host” is found to be negligent or in breach of any duty of care or any obligation to myself or the Infant Participant in the Infant’s participation in “Equine Activities”.
5. In addition to consideration given to the “Host” for the Infant Participant’s participation in “Equine Activities”, I and my heirs, next of kin, executors, administrators and assigns, as well as the Infant Participant and his/her heirs, next of kin, executors, administrators and assigns (collectively our “Legal Representatives”) agree:
(a) to waive all claims that the Infant Participant has or may have in the future against the “Host”;
(b) to release and forever discharge the “Host” from all liability for personal injury, death, property damage, or loss that I, the Infant Participant, or our “Legal Representatives” might suffer as a result of the Infant Participant’s participation in “Equine Activities” due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error in judgment of the “Host”; and
(c) to be liable for and to hold harmless and indemnify the “Host” from all actions, proceedings, claims, damages, costs demands, including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with the Infant’s participation in “Equine Activities”.
6. I agree that this waiver and all terms contained herein are governed exclusively and in all respects by the laws of the Province or Territory of Canada in which the “Equine Activities” are provided by the “Host”. I hereby irrevocably submit to the exclusive jurisdiction of the courts of that Province or Territory of Canada and I agree that no other court can exercise jurisdiction over the terms and claims referred to herein. Any litigation to enforce this waiver will be instituted in the Province or Territory of Canada in which the “Equine Activities” are provided by the “Host.
7. I confirm that I have had sufficient time to read and understand this waiver in its entirety. I understand that this agreement represents the entire agreement between the “Host”, myself as Parent/Guardian, and the Infant Participant, and it is binding on myself, the Infant Participant and our “Legal Representatives”.
Please Print Clearly
Infant Participant’s Name Date of Birth
Address City Province Postal
Parent/Guardian’s Name Date of Birth
Address City Province Postal
Signed this day of , 20
(Signature of Parent/Guardian of Infant Participant)
(Print Name of “Host” Witness to Signing and Initialing)(Signature of “Host” Witness)
Phone #: Home Cell Work
Email:
ALL NEW RIDERS/PARENTS MUST AGREE TO THE FOLLOWING AND OPEN AN ACCOUNT OF CREDIT WITH NORTH SHORE EQUESTRIAN CENTRE LTD. (NSEC).
PART I
I, AM RESPONSIBLE FOR ALL LESSONS AND SERVICES TAKEN BY THE RIDER/CLIENT, . I UNDERSTAND THAT NSEC WILL MAIL/EMAIL A STATEMENT OF ACCOUNT EACH MONTH SHOWING THE OPENING BALANCE (IF ANY) AND ALL TRANSACTIONS FOR THE MONTH PREVIOUS. I WILL MAKE FULL PAYMENT PROMPTLY UPON RECEIPT OF THE STATEMENT AND NO LATER THAN 30 DAYS FROM THE END DATE OF THE STATEMENT PERIOD.
I MAY MAKE PAYMENT BY CASH, CHEQUE, BANK DRAFT, POSTAL MONEY ORDER, MASTERCARD, VISA OR E-TRANSFER BEFORE OR BY THE DUE DATE. IF I HAVE NOT PAID BY THIS DATE I GIVE NSEC PERMISSION TO CHARGE THE END BALANCE OF THE STATEMENT TO THE BELOW CREDIT CARD AND NOTIFY ME OF THIS.
MASTERCARD/VISA: EXP. DATE:
SIGNATURE: NAME ON CARD:
WOULD YOU LIKE TO MAKE AUTOMATIC MONTHLY PAYMENTS USING THE ABOVE CREDIT CARD?
YES NO
I WILL CONTACT NSEC AND NOTIFY THE OFFICE OF ANY CHANGES IN MY CREDIT CARD NUMBER OR EXPIRY DATES, MY MAILING ADDRESS, CONTACT PHONE NUMBER/S OR EMAIL ADDRESS.
I UNDERSTAND THAT THIS FORM IS TO BE KEPT LOCKED IN A SECURE PLACE AND WILL BE KEPT IN STRICT CONFIDENCE.
PART II
I UNDERSTAND THAT NSEC HAS A ‘MISSED LESSON POLICY’ THAT IS POSTED IN THE STABLES. I HAVE READ THIS AND WILL ADHERE TO THIS POLICY. I UNDERSTAND THAT ANY ‘MAKE UP’ LESSONS NOT BOOKED AND COMPLETED BY THE END OF JUNE EACH YEAR WILL BE CHARGED TO MY ACCOUNT AT THE ‘MISSED LESSON RATE’.
SIGNATURE: DATE:
North Shore Equestrian Centre
Lesson Policies
Please initial beside each statement to assure that you have read and understand the following policies here at NSEC:
- I understand that there is a commitment of 4 months in weekly riding lessons from the time of registration for myself and/or my child/children for group lessons .
- I understand that there is a missed lesson policy at NSEC that states:
- Group Riding Lessons: If I and/or my child/children cannot make a scheduled lesson, I must inform NSEC 48 hours beforehand by phone or email. There will be no charge for the lesson I have missed, but I and/or my child/children must make up this lesson within 2 months of the lesson being missed. If I and/or my child/children am unable to make up the before mentioned lesson, there will be a charge of half the group lesson fee for every lesson not made up at the end of the 2 month period applied to my account .
- If I cannot give NSEC 48 hours notice for any reason, including illness or injury, a miss charge of half the lesson fee will be applied to my account .
- Private/Semi-Private Riding Lessons: If I and/or my child/children cannot make a scheduled lesson for any reason, I must inform NSEC 24 hours beforehand by phone or email.
- If I cannot give NSEC 24 hours notice for any reason, including illness or injury, a miss charge of the full lesson price will be applied to my account .
- I understand that in order to terminate group riding lessons at NSEC, a minimum of 2 weeks notice must be given by phone, email or in person or a termination fee equivalent to two group riding lesson charges will be applied to my account .
- I understand and commit myself and/or my child/children to attending 3 to 4 mandatory stable management classes throughout the year that will be taught off the horse .
- If I and/or my child/children cannot make a mandatory stable management class, I understand that there will be a miss fee of half a regular group lesson charge applied to my account .
- I understand that NSEC is open for regular lessons during all holidays EXCEPT Labour Day, Christmas Day, Boxing Day & New Years Day .
- I understand that when entering the barn I and my child/children must follow all NSEC rules as posted and/or published in official newsletters or brochures .
Print Name: Signature:
Date: