[{"type":"header","label":"Registration Form header","className":"waiver-header-element"},{"type":"paragraph","label":"I declare that all the information given in the registration form is accurate and completed in full. If any details change i will notify Horse Connection Centre. I understand Horse Connection does not accept any liability for any medication that i am on or for any accident, or illness related to many medical condition that I have while I attend. In addition, Horse Connection at Collacott Farm does not accept any personal liability for me during my attendance. CUSTOMERS UNDER 16 YEARS OF AGE - I accept full responsibility for my child and confirm that the above pre-assessed abilities are correct. I accept that my child rides and connects with horses at his/her own risk.

CUSTOMERS 16 AND OVER - I confirm from the above pre-assessed abilities are correct and I agree that I ride and/or connect with horses at my own risk.

DATA PROTECTION ACT 1998 - I understand that the information i have given will be held in accordance with the Data Protection Act 1998 but may also be made available to insurers and other concerned parties in the event of injury or accident.

I understand I must obey the instructions of the instructor and must comply with health and safety requirements of the establishments. I reserve the right not to take part in riding or other horse related activities for me or my child and request at any point a different horse or instructor.

A parent or guardian of customers under the age of 16 must sign this form.

I acknowledge THAT RIDING AND CONNECTING WITH HORSES IS A RISK SPORT AND HOLDS A POTENTIAL DANGER, and that all horses may react unpredictably on occasions.

","className":"waiver-legal-element"},{"type":"userinformation","required":false,"label":"User information","name":"userinformation-1713780916285"},{"type":"checkbox-group","required":false,"label":"What are your reasons for wanting to come to Horse Connection?","description":"Tell us about your interests","toggle":false,"name":"checkbox-group-1713785161700","other":false,"values":[{"label":"To enjoy mindfulness around horses","value":"option-1"},{"label":"To build my confidence around horses","value":"option-2"},{"label":"To learn to interact, work in hand and/or ride safely","value":"option-3"},{"label":"To connect with horses through understanding them","value":"option-4"},{"label":"To experience Equine Facilitated Human Development","value":"option-5"},{"label":"To support my mental wellbeing ","value":"option-6"},{"label":"To work on my personal boundaries, relationships or other life skills ","value":"option-7"}]},{"type":"radio-group","required":true,"label":"Have you (or the person you are signing for) ever suffered a serious injury or discomfort while riding or been advised not to ride or be around horses?","name":"radio-group-1713793174175","other":false,"values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2"}]},{"type":"textarea","required":false,"label":"If YES please describe:","className":"form-control","name":"textarea-1713783057187"},{"type":"text","required":false,"label":"Please detail ANY disability or medical conditions that may affect your ability to ride or be around horses or which your instructor should be aware of ?","className":"form-control","name":"text-1713782720126"},{"type":"checkbox-group","required":true,"label":"Equestrian ability ","description":"What experience of horses do you have?","toggle":false,"name":"checkbox-group-1713782214187","other":false,"values":[{"label":"No horse experience","value":"option-1"},{"label":"Beginner","value":"option-2"},{"label":"Novice","value":"option-3"},{"label":"Intermediate","value":"option-4"},{"label":"Advanced","value":"option-5"}]},{"type":"checkbox-group","required":true,"label":"How many times have you/rider ridden or been around horses in the last 12 months?","toggle":false,"name":"checkbox-group-1713782324713","other":false,"values":[{"label":"None","value":"option-1"},{"label":"Under 12","value":"option-2"},{"label":"12-40","value":"option-3"},{"label":"40 plus","value":"option-4"}]},{"type":"checkbox-group","required":true,"label":"What do you believe yours or the person attending with us' capabilities to be on a horse or pony?","description":"Tell us what you have experience of?","toggle":false,"name":"checkbox-group-1713782421798","other":false,"values":[{"label":"Greeting a horse in a friendly way","value":"option-1"},{"label":"How to be safe around a horse ","value":"option-2"},{"label":"Working in hand with a horse","value":"option-3"},{"label":"Riding at a walk","value":"option-4"},{"label":"Trotting with stirrups","value":"option-5"},{"label":"Trotting without stirrups","value":"option-6"},{"label":"Cantering","value":"option-7"},{"label":"Riding out (Hacking)","value":"option-8"},{"label":"Riding over jumps up to 0.5 metres","value":"option-9"},{"label":"Over jumps 0.75 metres","value":"option-10"},{"label":"Riding over cross country jumps","value":"option-11"}]},{"type":"checkbox-group","required":true,"label":"Area of interest","description":"Horse Connection Activity","toggle":false,"name":"checkbox-group-1713780698535","other":false,"values":[{"label":"Ride Connection","value":"option-1"},{"label":"In Hand Connection","value":"option-2"},{"label":"Ride Out Connection","value":"option-3"},{"label":"Herd Connection","value":"option-4"},{"label":"Equine Facilitated Human Development","value":"option-5"},{"label":"Other","value":"option-6"}]},{"type":"checkbox-group","required":true,"label":"Electronic signature consent","className":"waiver-accept-element","name":"checkbox-group-1713780301671","values":[{"label":"I accept","value":"option-1"}]},{"type":"signature","required":true,"label":"Signature","className":"waiver-signature-element","name":"signature-1713780301694"}]

Horse Connection at Collacott Farm

Collacott Equestrian Centre

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