Register for compel’r Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Participant's DetailsName *Email *Age *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry or Provider: Agreement Parent/Guardian InformationNameFirstLastEmailPhoneEmergency Contact InformationName *FirstLastPhone *Relationship to Participant *Medical Release FormIn the event of an emergency, I authorize Compel’R staff to seek medical care for the participant, including transportation to a medical facility. Known Allergies or Medical Conditions:Medications: Insurance Provider:Policy Number:Program Information Program Selection *Language and LiteracyCommunity EventCorporate EventSchool EventOne-on-One Horseback RidingCamps8-Week Program12-Week ProgramYear Round ProgramBriefly Describe Your Experience with Horses *Primary Objective for Joining this Program *Additional InformationHave You Attended Our Workshops Before? *YesNoHow Did You Hear About This Workshop? *FriendFamilyWebsiteSocial MediaEventAny Specific Riding Styles or Techniques You're Eager to LearnTerms and ConditionsTerms & Conditions *I agree to the terms and conditions of the Horsemanship ProgramAgreement and Release I understand that working with horses involves inherent risks, and I accept responsibility for my participation. I authorize staff to seek emergency medical care if necessary.Liability Waiver and Release Declaration *By signing this form, I agree to the following: he undersigned, understand and agree to the following: Participation in the Youth Horsemanship Program involves risks, including but not limited to injury from horseback riding, handling horses, and related activities. I assume all risks associated with participation and agree to release Compel’R, its staff, volunteers, and property owners from liability for any injury, loss, or damage incurred during the program. I agree to follow all safety guidelines and instructions provided by program staff.Code of Conduct Agreement *By signing this form, I agree to the following: he undersigned, understand and agree to the following: signing this form, I agree to: Treat all participants, staff, and horses with respect. Follow safety rules and listen to instructions from staff. Avoid disruptive behavior that affects the safety or enjoyment of others. I understand that failure to adhere to this code may result in dismissal from the program without a refund.Photo/Video Release Form *By signing this form, I agree to the following: he undersigned, understand and agree to the following: By signing this form, I agree to: I, the undersigned, give permission for Compel’R to use photographs or videos of the participant taken during the program for promotional, educational, or advertising purposes.Participant Signature * Clear Signature Parent/Guardian Signature (if under 18): * Clear Signature Submit Contact info@compelledtoride.org (863) 845-0729 223 East Lake Ave Auburndale Florida 33823 Follow FollowFollow