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190 Line Road, Malvern, PA 19355
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610-644-1963
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Participant Release
reelfire
2022-03-11T18:38:09+00:00
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Participant Release
My relationship to Thorncroft is as a (Choose one)
*
Rider
Volunteer
Staff
Community Service
Visitor
Volunteers 18 years and or older must have proof of a current/clear Pennsylvania Child Abuse History Clearance (this is a State Law) before they can attend Volunteer Training. Those doing service/school or community service hours, are responsible for keeping a copy of their hours when they leave, Thorncroft will not keep track of your hours.
Participant Name
*
Participant Date of Birth
Riders only, please note the height:
cm.
and weight
lbs.
Thorncroft strives for inclusion of all body sizes, and while our herd is currently conformationally able to accommodate a rider weight of 200 lbs. or less, everyone is invited to become a part of the Farm family. Unmounted, ground lessons are available to all.
If participant is under 18, name of (Choose one)
Parent(s)
Guardian
Caregiver
If you are married, the name of your spouse
Address
*
City
*
State
*
Zip
*
Cell Phone
*
Email
*
If this is a rider release, please note below the name and address of the person(s)/organization responsible for payment of lessons
Name
Cell Phone
Address
Email
IN CASE OF EMERGENCY, PLEASE CONTACT
*
Parent(s)
Spouse/Partner
Guardian/Caregiver
Name
*
Phone
*
LIABILITY RELEASE
In consideration of accepting
Participant’s name
*
in the riding program, or any other activity at Thorncroft, I understand that horses are unpredictable by nature and I voluntarily assume the risks and dangers involved. I hereby, intending to be legally bound, for myself, my heirs, executors or administrators, waive and release all claims for damages I may have against Thorncroft Equestrian Center/Thorncroft Therapeutic Horseback Riding, Inc., its Owners, Instructors, Volunteers, Aids and or Employees for any and all injuries and or loses. A non-employee is not covered by Thorncroft's worker's compensation policy. Respecting the ability of the horses, Thorncroft is unable to provide services to riders with a weight of over 200 pounds. Thorncroft is not responsible for any personal items ie: helmets, cell phones, etc.
Initials
*
MEDICAL RELEASE The above participant hereby (check one)
*
Consents
Does not consent
to any medical, dental, or surgical treatment or procedure of an emergency nature that is reasonably necessary to save the life of the person named above or to restore the person to health. I understand that should medical emergency treatment be required, the current insurance information listed here will be provided to the attending clinic or hospital to cover future payment of incurred bills.
Initials
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HELMET REQUIREMENT & SUGGESTED RIDING ATTIRE:
An ASTM-SEI approved helmet is required while mounted. I have been advised to wear hard soled shoes and pants in and around the stables and while working with or riding horses, so as to help prevent horse-related injuries. (Open toe shoes are not allowed in the stable area).
Initials
*
INSURANCE: The above named participant carries accident/medical insurance:
*
Yes
No
Name of Insurance Co.
*
Policy #
*
Initials
*
PHOTO/SOCIAL MEDIA RELEASE:The above named participant hereby
*
Authorizes
Does not authorize
the use and reproduction by Thorncroft Therapeutic Horseback Riding, Inc. of any and all photographs taken for promotional and or printed materials.
Initials
*
POLICY OF CONFIDENTIALITY:
All information including but not limited to, personal, medical, and financial documents are confidential among all participants, volunteers, and staff. Confidentiality is considered one of our most basic responsibilities.
Initials
*
COST OF LESSONS - WE OFFER THE FOLLOWING PAYMENT POLICIES, YOU MAY CHOOSE ONE
*
1. Pre pay for the month: $200 by the 7th of the current month
2. Be billed $225 at the end of the month
3. New riders may pay $75 each ½ hour private or hour group lesson in the first month
4. If there is a planned absence, you may "hold" your lesson time for $90 per month
Initials
*
Bills are due upon receipt. Lessons will be discontinued for any amount past due 90 days or over. Payment and a signed release for new riders must be received before the first lesson.
There are no make ups for missed or canceled lessons,
you may not pay "by the lesson".
Initials
*
PAYMENT METHODS:
1. Pay for your lessons Online. Online payments are the preferred method of payment.www.thorncroft.org Go to Programs and Clinics, Programs, Weekly Lessons and scroll down to "Pay Lesson Fees Online."
2. You may pay for your lessons in person. Please put your check in the white box located on the wall in the waiting area of the Main Arena. This box is locked at all times. Do not hand your check to an instructor. Put the rider's name in the memo of the check.
3. If you pay by mail, please remit payment to the following address payable to Thorncroft: 190 Line Rd. Malvern, PA 19355.
Put the rider's name in the memo of the check.
Initials
*
MISSED LESSONS:
If you are unable to attend a lesson, please call 610.644.1963 or call your instructor directly. This courtesy will offer time out in the fields for horses that may otherwise be kept in the stall. Multiple absences or no shows will result in rider losing their lesson time.
Initials
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HOLIDAY/EVENT CLOSINGS:
New Year's Eve at 5pm, New Year's Day, Memorial Day Weekend Friday through Monday, 4th of July, Thorncroft 5K at 3pm, Labor Day, Thanksgiving, Christmas Eve at 5pm and Christmas Day. THERE ARE NO MAKE UPS FOR HOLIDAY CLOSINGS.
Initials
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INCLEMENT WEATHER:
A Thorncroft instructor will always be available to teach. If inclement weather prevents you from attending your lesson, please call 610-644-1963 or call your instructor directly.
Initials
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TERMINATING LESSONS:
If you plan to discontinue lessons, Thorncroft requires notification in writing to jordan@thorncroft.org one month prior to your last scheduled ride. In addition, to better serve our riders, we would like to have additional information as to why you are terminating lessons.
Initials
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HORSE CARE:
If appropriate for ability and skill level, each student is encouraged to prepare his or her own horse for the lesson. This includes grooming, tacking up and tidying up after your horse. Plan to spend an additional 30 minutes before and after scheduled lesson time. There will always be assistance and supervision in the barn.
Initials
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BEHAVIOR AND ZERO TOLERANCE REGARDING DISCRIMINATION/ HARASSMENT:
TEC will not engage in or tolerate unlawful discrimination (including any form of unlawful harassment or retaliation) on account of a person's sex, pregnancy, age, race, color, religion, creed, national origin, ancestry, citizenship, immigrant status, military status, veterans status, disability, handicap, genetic information, sexual orientation, gender identity, marital status, family status, domestic partner, civil union, or ridership in any other protected group. TEC will not tolerate threatening behavior of any kind, threats towards any TEC staff member, volunteer, or student will result in immediate expulsion from TEC.
Initials
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NON-HARASSMENT:
TEC will not engage in or tolerate any other forms of unlawful harassment. The term "discrimination" or "harassment" includes, but is not limited to. derogatory comments, slurs, offensive remarks or jokes, or other verbal, graphic, or physical conduct. Harassment also includes unwelcome sexual advances, requests for sexual favors, unwelcome or offensive touching and other conduct of a sexual nature.
Initials
*
ACCEPTANCE OF POLICIES:
I have read, understand and will respect Thorncroft's policies.
Signed
*
(Signature of participant, parent, caregiver, or guardian.)
Date
*
Submit
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