Program Enrolment

Enrolment is $260 per participant for the 4 week program. This can be paid by cash, e-transfer, or credit card once enrolment is confirmed. Only one participant may be registered at a time.

Please select the option for payment below *

Cash
etransfer to: payments@horsingaround.ca
Credit Card (Visa, MC, Amex)

Participant name

First

Last

precautions * all

Parent/Guardian's name *

Parent/Guardian's phone number *

Participant's birth date (day/month/year) *

Participant's address (street, prov., city, postal code) *

Email address where you would like to receive confirmation and information

Grade entering into in fall 2026 *

Please describe participant's current reading level *

Please select the appropriate program session *

June 15 - July 10
July 13 - August 7
August 10 - September 4

Emergency contact information

First

Last

Emergency contact relationship *

Emergency contact phone number *

List any allergies or sensitivities (medical, food, other): (if none enter N/A) *

List any medications, chronic illness and/or physical limitations the providers should know about: (if none enter N/A) *

Current date *

Photo release waiver: I authorize Horsing Around and Learning to take photographs and/or video recordings of my child for use in marketing, promotion, education, and reporting, including printed materials, social media, and the organization's website *

Yes I consent to photo/video use
No, I do not consent to photo/video use

Waiver of Liability - By signing below, I agree to follow all guidelines, instructions, and expectations set by the providers during my child's participation in equine-assisted services, including Horse Powered Reading and emotional support activities at Horsing Around and Learning program sessions. I understand that participation in equine and other recreational activities involves inherent risks, including but not limited to physical injury, emotional distress, property damage, and, in rare cases, serious injury or death. Despite reasonable safety measures and precautions taken by Horsing Around and Learning, its owner, staff, volunteers, and agents, I voluntarily choose to have my child participate and assume all associated risks. I agree to have my child wear appropriate safety equipment, including a certified equestrian helmet when required, and to have them follow all instructions, rules, and safety guidelines provided by Horsing Around and Learning staff and providers. I affirm that my child does not have any medical, physical, or psychological conditions that would prevent them from participating safely. I hereby release, waive, and discharge Horsing Around and Learning, its owner, staff, volunteers and agents from any and all liability, claims, demands, or causes of action including those arising from negligence, that may result from my child's participation in these activities. I understand and agree that I am responsible for any medical expenses or other costs incurred as a result of injury or participation. This waiver applies to all risks, whether known or unknown. I agree that I have read and understand this Liability Waiver (and photo release if applicable). I agree to be bound by its terms and understand that signing this document is required for participation in any programs offered by Horsing Around and Learning. *

Date of Signing