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Mounted Police

Civilian Sensory Training Clinic (Novice)

Registration Form

Kentucky Horse Park, Covered Arena

February 16, 2013   8am-5pm

School your horse with the same sensory training techniques the mounted police use to train their horses. The clinic, grounded in natural horsemanship fundamentals, is done in-hand and under saddle. Riders work at their own speed and comfort level. All breeds of horses and riding disciplines are welcome. Must be 21 years old to participate.

* The maximum number of participants will be 25ppl, but there will be a waiting list in case of cancellations, to be called on a first come, first served basis. Cancellations 30 days out will receive a full refund; cancellations 29-10 days out will receive a $75 refund.

Please submit this form with your payment of $150 (includes welcome reception, breakfast, lunch and stall) and the following items:

• A copy of your Coggins
• A copy of your Health Certificate (12 months if in-state, 30 days if outside state)
• A signed release form

Make check payable to Kentucky Horse Park (or KHP) and mail to: Kentucky Horse Park

Attn: Sherry Logan

4089 Iron Works Pkwy.

Lexington, KY 40511

Use a separate form for each rider. Please fill out all information and print legibly.

Name__________________________________________________________________________

Address________________________________________________________________________

City_________________________________________   State_______   Zip Code_____________

Email (we prefer to contact you via email)_____________________________________________

Phone (cell preferred)______________________________________________________________

Horse’s name (barn name/nickname is fine)_____________________________________________

Age and breed of horse_____________________________________________________________

Check the description that best fits your horse:

1.___ Calm, adjusts well to new settings, has been frequently exposed to new sites, sounds, environments.

2.___ Basically calm, but not exposed to new surroundings often or does not react well to new environments.

3.___ Nervous, spooky and very uncomfortable with new surroundings and unfamiliar objects.

4.___ Has your horse ridden in company (with other horses)?

RELEASE FORM

          The undersigned Releasor, in consideration of being allowed to participate in the training course for civilian equestrians to be conducted by the Kentucky Horse Park Mounted Police at the Kentucky Horse Park on February 16^th, 2013, to hereby warrant and represent as follows:

1) I am fully aware that equestrian events such as the training course involve certain inherent risks                                                                                                         

                 which I assume by participating in the training course.

2)     I am aware that the sponsors and instructors in the training course for civilian equestrians do not have the duty to eliminate all risk of injury of participation in said course. There are inherent risks of injuries which I voluntarily accept by participating in the course.

3)     The undersigned Releasor on behalf of himself or herself and on behalf of his or her spouse, legal representative, heirs and assigns, hereby releases, waives and discharges the Kentucky Horse Park Mounted Police, the Kentucky Horse Park, its officials, supervisors, employees, representatives, departments and divisions, including but not limited to, its Mounted Police (hereinafter “Releasees”) who participate as instructors in the training course for civilian equestrians for any and all loss or damage, and any claim or damages resulting therefrom, on accountof injury to Releasor’s person or property, even injury resulting in the death of the Releasor, whether caused by the negligence of the Releasees or otherwise while Releasor is participating in the training course for civilian equestrian.

4)     Releasor agrees to indemnify the Releasees and each of them from any loss, liability, damage or cost they may incur due to the presence of Releasor in or upon the training course for civilian equestrians whether caused by the negligence of the Releasees or otherwise.

5)     Releasor hereby assumes full responsibility for the risk of bodily injury, death or property damage due to the negligence of the Releasees or otherwise while in or upon Kentucky Horse Park participating in the training course for civilian equestrian.

6)     Releasor expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Kentucky and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect.

Signed of this _____ day of _______________, 20___.

____________________________________________

Name of Releasor (Print)

____________________________________________

Signature of Releasor

2013 KHP Mounted Police Sensory Clinic Schedule

Friday, February 15, 2013

4:00-7:00                    Covered Arena Club Lounge

                                    Registration/Hospitality Room

Saturday, February, 16, 2013

08:00-08:30                Covered Arena Club Lounge

                                    Coffee/Donuts/ Introductions/Late Registration

08:30-09:00                Groundwork Demonstration

09:00-09:30                Prepare Mounts for Instruction

09:30-10:45                Group A          (Groundwork and Obstacles under Saddle)

                                   Group B          (Equitation)

                                   Group C          (Troop Drill)

10:45-11:00                Break

11:00-12:15                Group A          (Equitation)

                                   Group B          (Troop Drill)

                                   Group C          (Groundwork and Obstacles under Saddle)

12:15-1:30                  Lunch/Certificates

1:30-1:45                    Prepare Mounts for Instruction

1:45-3:00                    Group A          (Troop Drill)

                                   Group B          (Groundwork and Obstacles under Saddle)

                                   Group C          (Equitation)

3:00-4:00                    Optional Obstacle competition/games

Contact Info:

Captain Lisa Rakes: 859-576-4429

Stall Information:

All participants will be furnished a 10x10 stall (asphalt flooring) in an open shed-row style barn. Water will be available from a freeze-proof hydrant at the end of each barn. You will need to provide your own bedding and water/feed buckets. Shavings and/or feed can also be purchased from our on-site concessionaire, Devers, by calling 859.233.9702. Stalls will be on a first-come, first-served basis but there will be plenty available. Working out of your trailer is also permitted.

Medical Information:

Medical coverage will be provided by Safety Tec, Inc. during clinic hours. An EMT will be on-site and readily available. They can also be reached at 859.321.1963.

Please bring:

Helmets! They are required!

Rope-style halter

12 ft. lead

Regular tack, feed/water buckets, etc.

*Additional information regarding the Kentucky Horse Park rules/regulations can be viewed at www.kyhorsepark.com.