2026–2027

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Parent/Guardian Information

Parent/Guardian Name*

First Last

Parent/Guardian Cell Phone Number*

Parent/Guardian Home Phone Number*

Parent/Guardian Email*

Address*

Street Address Address Line 2 City State ZIP Code

Check any that apply:

My family is applying for a scholarship

My family has been approved for a scholarship

Alternative form of payment will be provided by:*

Each year, NCMT offers a very limited number of need-based scholarships. Tax, financial and other information is required to complete the application. You will be sent a link to the scholarship application form upon completion of registration. Note that registration/scholarship is not confirmed until you receive formal notification.

Enrollment Confirmation

Please select the session(s) your child is registered for, as listed in your Registration Confirmation email, before proceeding to the payment section.

Participant Name*

First Last

Participant Date of Birth*

Please indicate the riding in which you are enrolled.

Private Riding Lesson ($880/ Ten Week Session)

Semi-Private Riding Lesson ($600/ Ten Week Session)

Group Riding Lesson ($724/ Ten Week Session)

Please indicate the Equine Care sessions in which you are enrolled.

30 Minute Private Equine Care ($620/ Ten Week Session)

45 Minute Private Equine Care ($780/ Ten Week Session)

1 Hour Private Equine Care ($960/ Ten Week Session)

Student Medical & Emergency Contact Information

Emergency Contact Name (other than parent/guardian)*

First Last

Emergency Contact Phone*

Relationship to Participant*

Warning, Indemnity, Hold Harmless and Release of Liability

All registrants must agree to the following terms.

WARNING

Pursuant to Connecticut General Statutes §52-557p, a person engaged in recreational activities assumes the risk and responsibility for any injury to his or her person or property arising out of the hazards inherent in equestrian sports, unless the injury was caused by the negligence of the person providing the horse/pony or horses/ponies to the individual engaged in the equestrian activities, or the failure to guard or warn against a dangerous condition, use, structure or activity of the person providing the horse/pony and/or horses/ponies, or his or her agents and or employees.

ACKNOWLEDGEMENT

I, and/or on behalf of my child listed below, understand that there is an inherent risk in equestrian sports, including but not limited to the risk of serious physical injury, loss and/or death. However, I feel that the possible benefits for myself /my child /my ward are greater than the risk assumed. I, on behalf of myself /my child /my ward, fully assume all risks associated with equestrian sports, including Therapeutic Riding Programs, even if due to the NEGLIGENCE of New Canaan Mounted Troop, Inc. (hereinafter referred to as “NCMT”), and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees, including but not limited to variations in the indoor and outdoor ring conditions; man-made obstacles; collisions with object either inside or outside the riding rings including but not limited to jumps, hay bales, shrubbery, rocks, equipment, employees, participants, or other patrons and spectators on the property; lack of safety devices, or inadequate safety devices; lack of warning or inadequate warning; lack of instruction or inadequate instruction. I, on behalf of myself / my child / my ward, am responsible for immediately informing NCMT of any mental, physical or other condition, or change in condition, that may affect my child’s ability to participate in equestrian sports, including Therapeutic Riding Programs.

HORSES & PONIES

I, or on behalf of my child listed below, understand that horses and ponies, although tamed, trained and boarded at NCMT are in fact a “wild” animal, and may buck, shy, spook, kick, bite and/or react unexpectedly to the actions of other horses or ponies, riders, employees of NCMT, and environmental effects including but not limited to noise, wind, light/darkness, or any man-made or environmental anomaly beyond the control of NCMT, its instructors, guest instructors, Officers, Directors, Agents, Volunteers and or Employees.

INDEMNIFICATION

I, or on behalf of my child listed below, for myself and for my heirs, assigns, successors, executors, administrators and legal representatives, agree that I will defend, indemnify and hold harmless, NCMT and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees, free from any and all claims, suits or demands by anyone arising from my use of the facility, equipment and/or horses/ponies owned by, boarded at NCMT, or brought onto the property owned by NCMT, including claims of NEGLIGENCE on the part of NCMT and any of its instructors, Therapeutic Riding instructors, or guest instructors invited by NCMT, its Officers, Directors, Agents, Volunteers and/or Employees.

RELEASE

I, or on behalf of my child listed below, for myself and for my heirs, assigns, successors, executors, administrators and legal representatives, hereby release and agree that I will not sue NCMT and any of its Instructors and Employees, its Therapeutic Riding Instructors, or guest instructors, its Officers, its Directors, its Agents, its Volunteers, and/or other guests invited by NCMT, for money damages and/or for any injury, loss and/or death, emotional distress, or from theft to person, horse/pony or possession, sustained by me while using the facility, equipment and/or horses/ponies owned by, boarded at NCMT, or brought onto the property owned by NCMT, even if due to the NEGLIGENCE of NCMT and any of its instructors, Employees, its Officers, Directors, Agents, Volunteers, Therapeutic Riding Instructors, or guest instructors or other guests invited by NCMT. This hold harmless agreement shall extend to all activities engaged in including but not limited to horseback riding activities and any exposure or resulting illness or death from any communicable disease, including Covid-19 or biological agent.

Participant Name (for Waiver)*

First Last

Parent/Guardian or Participant (if 18 or older) Waiver Signature*

WARNING, INDEMNITY, HOLD HARMLESS & RELEASE OF LIABILITY
I have read this WARNING, INDEMNITITY, HOLD HARMLESS and RELEASE OF LIABILITY and fully understand its terms. I further understand that by signing this agreement that I may be waiving specific legal rights, either for myself or for my undersigned child on whose behalf I am signing this agreement. I have not been induced to sign this agreement and have not signed pursuant to any promise or representation which has not been attached hereto, if any. I sign said agreement voluntarily and of my own free will.

Photo/Media Release

Please upload Participant's photo*

This helps the staff get to know everyone at the start of the program.

Max. file size: 256 MB.

Photo/Media Release: Approve/Decline*

Do you consent to the following?

I grant to New Canaan Mounted Troop, Inc., (“NCMT”) its representatives and employees the right to take photographs or videos of my child/children or myself (“my family”) in connection with my family’s activities associated with NCMT. I authorize NCMT, its assigns and transferees to copyright, use and publish the same in print and/or electronically as part of its advertising, publicity, fundraising efforts or other uses. I understand that NCMT will not compensate my family for such use and hereby waive any right to inspect and approve the use to which it may be applied.

Approve

Decline

Photo/Media Release Signature*

Printed Name of Photo/Media Release Signer*

Payment method

Select payment method*

Credit Card

Check or other funding source

Payment schedule

Submit your program registration below. Remember, if you haven’t been approved for a scholarship, this registration is not confirmed until a completed scholarship application has been submitted and awarded/approved by NCMT.

Select schedule*

Pay in full today

Pay in two equal installments

Payment Details

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Installment Details

Total Amount

Today's Installment Payment Due (1st of 2 Total)

The second installment payment will automatically be billed to your credit card 75 days from the date of registration.

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Payment Information

I have read and agree to the terms of the cancellation policy*

If a Participant withdraws within 30 days of their first lesson, payments are refundable, less an administrative fee equal to 25% of tuition. After 30 days, registrants are responsible for the full tuition. Exceptions are made for withdrawal due to medical injuries that are certified by a note from a physician (tuition will be prorated based on remaining program term). Installment payments will be billed to the card submitted with this registration. It is the responsibility of the registrant to notify the NCMT office of any changes to credit card information. Participants are eligible for one make up lesson per term. There are no refunds for missed lessons/barn days or cancellations due to weather. * There will be a $50 administrative fee charged for lesson changes after September 20th and for all “No Shows,” lessons that were not canceled ahead of the scheduled lesson time. Changes are disruptive to other students and staff. These administrative fees will be invoiced as they occur.

I have read and agree to the terms of the cancellation policy

Credit Card*

Card Details

Cardholder Name