Trotting To Happiness

Consent Form

Name of Participant

I acknowledge that horseback riding, equine assisted therapy or activities including horses are an extreme test of a person’s physical and mental limits and carries with it a potential for serious injury, personal property loss or even death. Horses are large animals and even the gentlest horse can be unpredictable. I hereby assume the risk of participating in such activities.

I hereby take the following actions for myself and my executors, administrators, heirs, next of kin, successors, and assigns:

• I acknowledge that there is a risk of death, personal injury or damages of any kind arising out of or relating to my participation in, or my travelling to and from Trotting to Happiness. I therefore understand it is very important to follow the instructions of the therapist particularly when working with horses and to do so without delay.
• Accordingly, I consent to follow the instructions given bt the therapist at Trotting to Happiness with regard to safety around the horses and carry out any action requested by the therapist in order to keep myself, third parties and the horses safe.

By signing this form, I affirm that I am eighteen years of age or older. I have read this document and I understand its content.
(A pdf link will be emailed to the above email address for you to download, sign and bring to your first session)

Parental\Guardian Consent

The undersigned (parent\guardians name) the parent and natural or legal guardian of (minors name) as named above, hereby execute the foregoing consent for and on behalf of the minor named herein. I hereby bind myself and all other assigns to the terms of consent. I represent that I have legal capacity and authority to act for and on behalf of the minor named herein.

(A hard copy pdf will be emailed to the above email address for you to sign and bring to your first session)

Guardian Name

Disclaimer and Media

Trotting to Happiness accepts no liability for loss or damage which belongs to or are brought to a therapy session by a client and other third parties however occurring, and all such goods or property brought onto the premises at the client’s risk.