International Horsemans Institute

APPLICATION FORM

Fill in the form below:

Name:
Address:
Suburb:
Phone (H):
Phone (M):
Email:
   
Course Date and Location:
   
I wish to attend as a:  
   

Participant Specifications

  • Applicants under 18 years require Parent / Guardian Consent.
  • Physically participants must be able and reasonably fit, and well balanced on a horse at all gaits.
  • As a matter of safety we reserve the right to recommend that you do not ride, and in such case your enrolment will be transferred to an spectator status.
  • Protective clothing for all weather, hat, sunscreen, fly repellent, etc. * Horse and all your horse’s needs (feed, buckets, etc) * All gear should be marked and identifiable * Halter, Lead, Saddle. (Horseman’s Halter and 12-foot Lead, Carrot Stick and String recommended ) .

Spectators

  • Protective clothing for all weather, hat, sunscreen, fly repellent, etc. * Chair , pen, paper.

Your Horse

    • Your horse must already be going under saddle.
    • Please, no serious problem horses at the course
    • No stallions permitted
   
Payment Method   $
 
 
 
   
Please make all cheques payable to “International Horsemans Institute”

Direct deposit details:

Bank: NAB
Branch: Orange
BSB: 082 774
Account: 79 889 0478
Name: International Horsemans Institute
ABN: 30 607 692 907
   

Riders Acknowledgement and Declaration

I declare that:

  • Physically, I am able and reasonably fit and I am well-balanced on a horse at all gaits;
  • My proposed horse does not have any serious training problems or ‘anti-social’ defects which may disrupt the Course or other horses or other riders: I will accept and follow all reasonable directions of the Instructor:
  • I am aware that any activities involving horses can be hazardous and unpredictable, and that I could be injured, but I accept all risks of personal injury, death, or property damage to myself, or caused to others:
  • I am aware I may be personally liable for any injury or damage to other horses, people or property that is caused by myself or the horse(s) being used by me, and I have been advised that I should insure myself against such risks:
  • I have fully read and understand the ‘Terms and Conditions’ on this form and I agree that all the terms and conditions are included in the agreement between myself and the Instructor.

Please note if Participant is under 18 this agreement must be signed by a parent or guardian, please contact us for a printed form for signature

Terms and Conditions

  1. No Stallions allowed without prior written approval from the Instructor
  2. At any time in its absolute discretion, the Instructor may:
    • a. revoke its approval for the Applicant to attend or participate in the Course
    • b. recommend the applicant transfer to ‘Auditor’ status
    • c. make an adjustment or refund of fees if either the event in a) or b) occurs.
  3. If the Course Fee has not been paid in full and received by the Instructor within seven (7) days before the date of the Course, then the Instructor shall be entitled to accept another person in the Course and keep any monies already paid.
  4. In the event that the Applicant cannot attend the course, the Instructor may:
    • transfer the monies paid to a future course
    • provide a refund; an administration fee will be charged of 10% of the course fee or $300.00 (which ever is less)
  5. The Applicant agrees to release and discharge the Instructor in respect of all liability to the Applicant for loss or damage of any kind whether for personal injury, death or property damage which the Applicant may suffer in attending the Course, howsoever caused.
  6. The Applicant hereby indemnifies the Instructor from any loss, liability, damage or cost that may be incurred by the Instructor:-
    • as a result of any act or omission, whether caused by the negligence of the Applicant or otherwise
    • in respect of any injury, loss, or damage any person who may accompany the Applicant to the Course may suffer whilst at the Course.
  7. This Agreement, Releases and Indemnities shall be binding upon the Applicant, the Applicant’s legal representative, heirs and next of kin and that this Agreement may be pleaded in bar to any cause of action commenced in any Court contrary to the Terms and Conditions.
  8. Various words and phrases used in this Agreement shall have the following meanings:-

“Instructor” also incudes any directors, shareholders, employees, agents, or sub-contractors who may run or assist in running the Course
“Course” refers to any instructions, training, or demonstrations relating to the starting, training, selection, care, handling and riding of horses.

I Agree   I Disagree
 
  CONFIRM CODE