Equestrian Event Youth Rider Consent Form
Rider Information
Youth Rider Name
Date of Birth
Address
Phone Number
Parent/Guardian Information
Parent/Guardian Name
Contact Number
Email Address
Emergency Contact
Name
Phone Number
Relationship to Rider
Medical Information
Relevant Medical Conditions, Allergies, or Medications
Consent and Agreement
I, the undersigned parent/legal guardian, give permission for the above-named youth to participate in the event.
In case of emergency, I authorize event staff to obtain medical treatment.
Parent/Guardian Signature
Date