PAINTS-PLUS EQUINE CENTER EQUINE THERAPEUTIC PROGRAM APPLICATION
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MEDICAL INFORMATION
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Classes with 3 or less riders may be cancelled or combined.

WAIVER -- Acknowledgement of RISK and RELEASE of LIABILITY –“For All Participants ”--Please Read Fully
The Parent/Guardian/Participant must Read and Understand prior to Participating in Equine Activities. By Selecting Yes to each of these questions and submitting the form the Parent/Guardian/Participant has read it and states that they understand it. The Parent/Guardian/Participant further state they am aware that by submitting this form they waive certain legal rights they and the Parent/Guardian/Participant and/or there “Legal Representatives” might have against Paints Plus Equine Center and its employees.
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PAINTS-PLUS EQUINE CENTER LESSON STUDENT RULES
YARD RULES • When in yard, barn or arenas, all horses must be supervised and have a halter, rope on bridle on for control. • Please do not hand feed any horses or give treats to other people’s horses without permission. Chop apples. • Smoking and swearing is prohibited on the on the property. No dogs allowed as we already have 3. Please respect the privacy of the yard areas in front and behind the house. Do not enter the back yard. In the yard, dispose of your horse’s manure in a pen or manure spreader or use the muck tubs provided.
BARN RULES • Barn and Arena doors are to be kept closed. Windows may be opened in summer months to cool barn. • Please only tie horses in grooming stalls in barn or to rings outside of indoor arena by outdoor arena. • Sweep up dirt/hair and your horse’s manure BEFORE and AFTER riding, using shovels and tubs provided. • Put grooming equipment away during your ride. PPEC is not responsible for lost or stolen articles. • Anyone caught by security cameras as having not cleaned up will get a $10/incident clean-up charge added. • Last person out of the barn & arena, please turn off all inside lights. Outside lights are on timers.
ARENA RULES • Everyone riding or working at PPEC must read, understand & sign/submit a Release of Liability Waiver. • General riding is allowed in the arenas during lessons, however the lesson instructor has control of the arena • Heeled footwear and long pants are mandatory while riding. No sandals or bare feet when near any horse. • ASTM Approved Riding Helmets are mandatory for riders under 18, and for all riders while in lessons. • Please adhere to the following arena etiquette: When you are entering the indoor arena, look through window to see when it’s safe and announce yourself by saying “Door!” before you open it. Check your girth and tack before mounting. If a jumping lesson is in progress, familiarize yourself with the course being ridden so as not to get caught in an unsafe location. Horses in lesson have the right of way. If a rider and/or horse should fall or in case of a power outage, STOP all movement immediately and listen to instructors instructions.
LESSON HORSE RULES • Do not go into any field or attempt to catch your horse without instructor supervision. • Tie horses short in grooming stalls in barn or to rings attached to outside of indoor arena by outdoor arena. • Winter Blankets - undo back first and do up front first on winter blankets correctly to avoid injuries to people or horses and destruction of blankets. Make sure clips are closed properly as sometimes they stick. • Always groom, tack-up and cool-out your horse as per lesson instructors or TA’s directions. • Use only tack/supplies designated for your lesson horse. If you cannot locate something, please ask. • Please pick-up manure & sweep barn before and after riding. Grooming buckets should be put away during lesson. Keep your stuff upstairs or in your locker. PPEC is not responsible for lost or stolen articles. • Do not hand feed the horses unless instructed to use a treat to catch. Put approved treats in their buckets. • If you observe something that you don’t think is right, alert the instructor or TA, don’t attempt to correct alone. • Please do not “beautify” the lesson horses (no cutting manes/tails, no braids left in when turned out.)
Sorry we don't offer make-up lessons in for this program.
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I have read this form (as indicated by my responses above) and I state that I understand it. I further state I am aware that submitting this form, waives certain legal rights the Parent/Guardian/Participant Participant and/or our “Legal Representatives” might have against Paints Plus Equine Center and its employees.
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Do not submit until you have read and understand all items above.
After you hit submit, it should change to a screen that says it was successfully sent. If not, please try again.