"Horses are our passion and passion leads to making YOUR dreams come true."
Thank you for your honesty and we are so happy to have you as a part of our stables. Please fill out form before you schedule your appointment. I consent to having La Fleur Stables / Madison Riding Academy collect my email and address.
Step #1:Submit this Online Rider Assessment/Waiver Form. Please make sure it is filled out completely.
Note: Items marked with an asterisk (*) are required.
Step #2: After submitting the application then PAYMENT can be done through....
Pay Pal, OR stables takes major credit card, checks and cash the day of the Horse Adventure.
Looking forward to seeing you all soon. Thank you for your business.
Cell phones are not allowed in the stables at anytime unless authorized by the owner or instructor of the barn. Please leave your cell phone in your car or you may check it in at the stable store. We are very strict about this policy, because we want to ensure the safety of all riders and horses.
Waiver of Liability:
In consideration for my/minor’s participation in the activity. I hereby waive all claims or causes of action, including ordinary negligence, against Stables, its owners, trainers, instructors, managers, employees, agents and/or volunteers, arising out of my/minor’s participation in the activity however, wherever and whenever that same my occur.
I understand that this waiver is meant to be as broad and inclusive as permitted by the laws of Wisconsin, and agree that if any portion is held invalid, the remainder of the waiver shall continue in full legal force. I further agree that the venue for any legal proceeding shall be within the 5 years of your start date at the Stables. Wisconsin Statues NOTICE 895,481(1)(E): A person who is engaged for compensation the rental of equines or equine equipment or tack or in the instruction of a person in the riding or driving of an equine or being a passenger upon an equine is not liable for the injury or death of a person involved equine activities resulting from the inherent risks of equine activities, as defined in section.
Consent to Use of Emails/Videos/Photos:
_____, I understand my/my minor’s picture can be taken or that I/my minor can be filmed while participating in activities at Stable or when representing Stable at events. I hereby grant to Stable and its owners, trainers, instructors, managers, employees, agents, volunteers, photographers and/or videographers the right to take, use, publish, and copyright photograph(s) and videos of me/my minor in press releases, advertisements, publication, and/or promotions by Stable, including its website and/or social media websites, such as Facebook, Instagram, Twitter and/or YouTube, maintained by Stable and/or it’s agents and individual employees. I hereby release Stable, its owners, trainers, instructors, managers, employees, agents, volunteers, photographers and/or videographers, from any and all claims or demands arising out of or in connection with said photography or videography or the publications of said photographs and videos.
Helmet Opt-Out for Riders over 18:
_____ I expressly acknowledge that is the policy of Stable that ASTM/SEI certified helmets are MANDATORY for any rider under that age of 17 and under, UNLESS EXPRESSLY WAIVED. I expressly acknowledge that I understand the risks associated with not wearing as ASTM/SEI approved riding helmet. I am voluntarily choosing not to wear to wear a helmet and expressly assume any additional associated risk, because I’m over the age of 18 & over.
Protective Headgear Offering
I, for myself and on behalf of my child and/or legal ward, have been offered protective headgear (riding helmet) by Instructor or have provided for myself protective headgear. Student understands that the wearing of such headgear while mounting, riding, dismounting and otherwise being around horses, may prevent or reduce severity of some head injuries, and may even prevent death as the result of a fall or other occurrence. It is understood that Instructor provided headgear may not be of perfect fit for each Student head, and that once provided I/WE will be responsible for securing the helmet on Student head at all times. Minors MUST wear protective headgear.
PROTECTIVE HEADGEAR ACCEPTANCE
I/WE request to wear protective headgear which Instructor provides.
I/WE will provide MY/OUR own headgear. I/WE accept full responsibility for MY/OUR safety in this decision.
I give permission to Stable owners, managers, trainers, instructors, employees and agents to seek emergency medical treatment for the participant(s) in the event they are unable to reach any parent or guardian. I agree that I will be responsible for any financial debt incurred by said action.
I recognize the treat of exposure to tetanus that exists in the presence of livestock and acknowledge my responsibility to obtain inoculation and maintain protection against tetanus, a disease endemic to horses.
The following is a list of all insurance information, restriction, allergy and medication information necessary for me/my minor to receive appropriate medical care:
Vaccination - Tetanus - No Specific Medical condition - Epilepsy/Seizure Disorder - Asthma - Diabetes - Emotional/Behavior ADD or ADHD - Food Allergies
I, _______________, the legal guardian or parents of ___________________, agree to the following with respect to participation by either of us in actives related to riding/driving instruction and coaching at La Fleur Stables LLC - Madison Riding Academy LLC - Hippoi Institute Ltd., (hereinafter referred to as “Stables”)
I acknowledge that Stable, its Owners, trainers, instructors, managers, employees, agents, volunteers and/or other participants and clients are not responsible for any injury (or loss of property) to any person while participating in horse related activities, special events such as camps, demonstrations or horse shows, or in any other way related to horse riding/driving at Stable or related venues for any reason, including ordinary negligence on the part of Stable, its owners, trainer, instructors, managers, employees, agents, volunteers and/or other participants and clients.
Consent to Participation:
I consent to my/my minor’s participation in the activity and acknowledge that I fully understand that my/my minor’s participation may involve risk of serious injury, illness or death including losses which may result not only from my/my minor’s own actions or inactions but also from the negligence of others and/or the condition of the facilities, equipment, or areas where the activity is being conducted. I understand that if I have any risk concerns, I shall discuss them completely with Stable, its owners, managers, employees, agents or volunteers before I sign this agreement and before my/my minor’s participation begins.
Assumption of Risks:
Knowing and understanding the risks involved with participation in this activity, I hereby voluntarily and willingly assume full and complete responsibility for all losses and damages, including injury, illness and death, resulting from my/my minor’s participation in the activity, including transportation to and from the activity. I agree I am financially responsible for any losses and damages resulting from my/my minor’s participation in the activity.
I acknowledge that I am aware Safe Sport training is available for me/my minor that Stable’s trainers and instructors have completed same. In 2019, the Stables policies will go into effect. The new policies are part of a congressional requirement mandating United State Equestrian Federation (USEF), as well as other amateur sports organizations and governing bodies, to implement policies and procedures that limit one-on-one interactions between minor athletes and adults who are not their parent/legal guardian. We designed these policies to work for equestrian sport, but please recognize that they are based on the uniform policies developed by the U.S. Center for SafeSport that will further protect minor athletes, under federal law. If a child is left alone with adult that isn't their parent/guardian they must have permission and pay the "DAYCARE" fee packages.
I hereby grant permission for the following actions or activities related to my/my minor’s participation in the activities.
____I give permission to receive individual instruction at the farm and horse shows including limited physical contact to assist in instruction.
_____I give permission for individual meetings between my child and the trainers/instructors if related to the training and instruction of my child at the farm and horse shows including limited physical contact to assist in instruction.
_____I give permission to communicate directly with my child via TEXT MESSAGES at the following phone number if said communication is related to training and instruction. This in below information.
_____I give permission to communicate directly with my child via EMAIL at the following email address if said communication is related to training and instruction. This in below information.
_____I give permission to communicate directly with my child via SOCIAL MEDIA, including Facebook, Twitter, Instagram and Snapchat if said communication is related to training and instruction.
_____I do not wish to be copied on each communication between my child and the trainers/instructors. Text messages, Email, Social Media.
_____I do want to be copied on communication between my child and the trainers/instructors at the following. Phone number or email address.
_____I give permission for my child to ride in any vehicle designated by Stable, its owners, trainers, instructor, managers and/or adult volunteers, while participating at horse shows if related to training and instruction.
_____I give permission for my child to stay overnight at the residence of a stable trainer/instructor, which residence is designed by Stables as appropriate and safe, while participating in training and instructing related activities. I understand my child will not share a room or sleeping arrangements with Stable’s trainer/instructors or adult volunteers. I understand that I am allowed to inspect said residence and visit at any time during which my child is in residence.
______I understand that petting Horses/Dogs/Cats or other animals that are at the Stable without permission, for the Health of the animal, feel free to look but please refrain from petting any animals without asking the Stable management first. Good Hygiene practices are always recommended. Washing your hands often or the frequent use of hand sanitizers helps to protect the animals.
______I understand that the Stable cancellation policy— Cancellation Policy-the stables requires 24 hour notice to cancel any riding program/horse adventure. Failure to give 24 hour notice will result in forfeiture of the program time and fee. No refund or credit will be given for failure to cancel or complete a lesson session. Parent/Guardian must do so, by phone call 608-833-3635, email neva@Lstables.com.
Increment Weather Plan--If there is bad weather we will follow the Madison protocol.
______I under, if I am boarding or using a horse owned by me or any acquaintance of mine the Stable in connection with Activities. I warrant and represent that such horse has the proper temperament and health for the Activities.
Policies - Code of Conduct:
______I have read Policies -code of Conduct page about Horse Lover’s rules, Family, Property, Stables and Programs.