Blood type:
Medical history:
Current treatment: YesNo
If yes, please specify the treatment:
I authorize any necessary medical care.I authorize EquiEnglish to transport the participant.I accept and acknowledge the inherent risks of equestrian activities.I authorize the administration of medication provided with a prescription.
Image rights: I acceptI refuse
Travel/holiday insurance purchasedNo suitable insurance
Insurance company:
Policy number:
Can swim aloneCannot swim
I have read and approved, I agree to the terms.
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