1. Name of person giving consent or parent/guardian if under 18 years of age. *

First Name

Last Name

2. Name of person participating if under 18 of age.

First Name

Last Name

3. Participating in activities involving horses involves a high risk of injury, as these activities are considered significant high-risk activities by our community and legal system. By attending and/or participating in this training or session, I willingly and freely acknowledge all such risks, whether known or unknown, and I enter at my own risk. *

I agree

4. It is important to understand that horses have different temperaments and natures, and they can be unpredictable, especially if frightened, hurt, or mistreated. However, the horses at Wild Hearts are chosen to match the experiences and feelings of new clients. They do not kick or bite people, and clients will be taught how to set boundaries and choose how they want to engage with the horses. A safety guideline will be provided to ensure that clients remain safe, aware, and able to make safe choices during all sessions with horses *

I agree

5. The Wild Hearts practitioner will take all possible care and follow clear safety guidelines to benefit clients and horses. As a participant, I agree not to deliberately frighten, hurt, or mistreat the horses and to follow the safety guidelines offered by the practitioner. *

I agree

6. WHEC makes no warranty of any kind, expressed or implied, regarding the nature, habits, and disposition of any horse involved in sessions or activities. All directions provided by the Wild Hearts Equine Assisted Learning (EAL) practitioner must be observed. *

I agree

7. I am responsible for wearing suitable clothing, including long pants and appropriate footwear, such as fully covered hard shoes or boots with flat heels. If mounted or riding sessions are offered, clients must wear a helmet that will be provided. *

I agree

8. I agree to follow the directions of the practitioner or official, and I understand that any misconduct or refusal to follow any direction can result in my exclusion from participation in the activities. Any non-compliance may result in injury due to my failure to comply. *

I agree

9. In the event of an accident of any kind, I must report it to the WHEC practitioner immediately. In the case of a serious accident or injury where an ambulance or medical treatment is required, I am responsible for any costs that may be incurred. *

I agree

10. By entering the activities area, I acknowledge that the practitioner, officials, and/or others do not accept any liability for any accident, damage, injury, or illness to me, any spectators, participants, or any other person or property whatsoever. *

I agree

11. Knowing the potential inherent risks, I assume sole responsibility for any injury, death, or property damage that may occur as a result of my attendance and/or participation in this training. *

I agree

12. I have read and fully understand the above terms and conditions, and I willingly give my consent to participate in Equine Psychotherapy or Learning Sessions. *

I agree

I consent to the terms and conditions of the above request to participate in Equine Psychotherapy or Learning Sessions *

I agree