Student Registration Form

All information given is Confidential – please complete all sections

Student Name*

Date of Birth*

Address and Postcode*

Email Address*

Telephone (needed if lost/delayed)*

Name of parent or guardian if under the age of 16

Do you have any existing medical conditions or been advised by a doctor not to undertake strenuous exercise? It is important to know an medical conditions or medication that is taken in the event of an emergency, for instance, if you were unable to communicate.

Emergency Contact

Name and Contact Number*

Relationship to Student

Horse Details

If providing details of multiple horses, please use a / between the information in each horse. No stallions.

Name(s)

Age and Height

Breed and Gender

Issues and Goals

If you cannot think of anything for any of the below questions, please out not applicable.

Please outline any issues you have when working with your horse?

Please outline your goal with your horse(s) in 3-6 months?

Please outline your goal with your horse(s) in 1-2 years?

Disclaimer

Terms and conditions: At any time, with absolute discretion, your instructor may:- 1. Revoke approval for the student to attend the lesson. 2. Recommend that the student transfer to spectator status. 3. Adjust fees if event 1 or 2 occurs.

I acknowledge that RIDING IS A RISK SPORT AND HOLDS POTENTIAL DANGER and that all horse may react unpredictably on occasions, even when being handled on the ground.*

I understand that I must obey the instructions of the instructor and comply with the Health and Safety requirements of the establishments. I confirm that to the best of my knowledge all of the above details are correct.*

Physically I am able, reasonably fit and well balanced on a horse at all gaits. The horse that I will use on this lesson does not have any serious behavioural problems that may disrupt the lesson, other horses or riders. *

I understand that wearing an appropriate riding hat and body protector may reduce the severity of an injury should an accident happen. I will accept and follow all reasonable instructions given by the INSTRUCTOR. *

I am aware that activities involving horses can be dangerous and unpredictable and that I can be injured or killed. I accept all risks of personal injury, death or property damage (including the horse) to myself or caused to others. *

I am aware I may be personally liable for injury or damage to other horses, people or property that is caused by my horse or myself and have been advised that I should insure myself against such risks.*

I understand that and agree to photographs and/or videos of myself and my horse may be/being taken for promotional purposes in future literature and/or social media marketing. *

I understand that the information I have given will be held in accordance with current Data Protection legislation but may also be made available to Insurers or other parties in the event of any injury or incident.*

I give my consent to be contacted by Nell Candelaria about future events and activities associated with her business. This is on the understanding that this information will not be shared with any third party.*

Date Confirmed

Date*

Nell Candelaria Privacy Notice 

Nell Candelaria is committed to protecting and respecting your privacy. 

This policy sets out the basis on which any personal data she collects from you, or that you provide to her, will be processed. Please read the following carefully to understand Nell’s views and practices regarding your personal data and how she will treat it. By visiting www.withthehorse.co.uk (“her site”) you are accepting and consenting to the practices described in this policy. 

In this privacy policy “she” and “her” refer to Nell Candelaria Horsemanship. Her registered office is Flax Bourton, Wrigwell, Ipplepen, Devon, TQ12 5UB.  

Nell welcomes your views about her website and her Privacy Policy. If you wish to contact her with any queries or comments please send an email to ncandelaria4@gmail.com or call 07765203012. 

Information Nell may collect from you 

Nell may collect and process the following data about you: 

Information you give her. You may give Nell information about you by filling in forms on her site or by corresponding by phone, e-mail or otherwise. This includes information you provide when you place an order, enter a promotion or survey and when you report a problem with her site or service. The information you give Nell may include your name, address, e-mail address and phone number, personal description and business details. 

Information Nell receives from other sources. Nell may receive information about you from third parties, such as an existing client, if you have consented to this. Generally, Nell does not share your data with any third-party company. However, in the event of an accident, Nell may be asked by insurers to pass on personal details. 

Uses made of the information 

Nell uses information held about you in the following ways: 

Information you give to her. She will use this information: 

·         to carry out obligations arising from any contracts entered into between you and her and to provide you with the information, products and services that you request from her; 

·         if you agreed, to provide you with information about other goods and services she offers that are similar to those that you have already purchased or enquired about; 

·         if you agreed, to provide you with information about goods or services she feel may interests you. If you do not want her to use your data in this way please contact Nell at ncandelaria4@gmail.com; 

·         to notify you about changes to her services; 

·         to ensure that content from her website is presented in the most effective manner for you and for your computer. 

Information Nell collects about you. She will use this information: 

  • to ensure that, in the event of an accident and you are unable to communicate, she can pass any relevant information to emergency services and notify your designated emergency contact; 
  • to administer her legal obligations and internal operations, including troubleshooting, data analysis, testing, research, statistical and survey purposes; 
  • to allow you to participate in interactive features of her service, when you choose to do so; 
  • to measure or understand the effectiveness of advertising she serves to you and others, and to deliver relevant advertising to you; 
  • to make suggestions and recommendations to you and other users of her website about goods or services that may interest you or them. 

How Nell protects your personal data 

All information you provide to her is stored securely. Once she has received your information, she will use strict procedures and security features to try to prevent unauthorised access. If you would like more information on how this data is stored, please contact Nell at ncandelaria4@gmail.com or ask her during a lesson. 

Unfortunately, the transmission of information via the internet is not completely secure. Although she will do her best to protect your personal data, she cannot guarantee the security of your data transmitted to her site; any transmission is at your own risk. Once she has received your information, she will use strict procedures and security features to try to prevent unauthorised access. 

Your rights 

You have the right to ask Nell not to process your personal data for marketing purposes. Nell will usually inform you (before collecting your data) if she intends to use your data for such purposes. You can exercise your right to prevent such processing by contacting Nell at ncandelaria4@gmail.com. 

Nell’s site may, from time to time, contain links to and from the websites of partner networks, advertisers and affiliates. If you follow a link to any of these websites, please note that these websites have their own privacy policies and that Nell does not accept any responsibility or liability for these policies. Please check these policies before you submit any personal data to these websites. Generally, Nell does not share your data with any third-party company. However, in the event of an accident, Nell may be asked by insurers to pass on personal details.

Access to information 

The General Data Protection Regulation (GDPR) gives you the right to view, amend or delete information held about you. Your right of access can be exercised in accordance with the GDPR. 

Review of this Policy 

This Policy will be reviewed periodically as changes to regulations come forwards. 

 

Date 23rd May 2018