REGISTRATION TYPE *

New Registration

Renewal (annual renewal required when certificate of insurance expire)

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Activity *

I will only teach students at Lakewood Stables

I will only train horses at Lakewood Stables

I will teach students and train horses at Lakewood Stables

Discipline *

Hunter/Jumper

Eventing

Dressage

Natural Horsemanship

Western

Polo

Start Young Horses

Other

Acknowledgment of Professional Trainer Rules & Regulations *

1. Trainer must fill the online Lakewood Stables Trainer request form and restrain from any professional activity until such request is granted by Lakewood Stables or agents — complete form to right and submit. 2. Trainer agrees to comply with all applicable local, state and federal laws, ordinances, rules and regulations, including but not limited to these Trainer Rules and Regulations and the Lakewood Stables Rules and Regulations. 3. Trainer and all students must sign the Lakewood Stables  Waiver, Release, Defend, Indemnification and Hold Harmless Agreement form. 4. All registered trainers are required to carry horse Trainer Liability Insurance with a liability limit of one million dollars ($1,000,000) or more. The Certificate of Insurance must list the Lakewood Farm and Stables LLC as an additional insured. Proof of coverage must be provided to Lakewood Stables by having your insurance carrier e-mail a Certificate of Insurance to lakewoodstablesllc@gmail.com. 5. Trainers authorized by Lakewood Stables are not permitted to trailer in lesson horses not boarded at Lakewood Stables. 6. Lessons/training do not have the right-of-way. Do not monopolize the ring if other riders are present. Be aware of all riders and adjust your lesson or ride accordingly. 7. Trainers are solely responsible for providing adequate and appropriate supervision for their lessons and training and must conduct their lessons and training in a safe manner for all riders and horses present. 8. Trainers are solely responsible for determining whether the sections of Lakewood Stables used in connection with their lessons and training are safe, suitable and appropriate for their use and their students’ and horses’ use and shall inspect the same prior to and subsequent to each use to determine that said sections are safe and suitable. 9. Trainers are solely responsible for the care, custody, and control of any of their personal property or equipment brought onto Lakewood Stables property. Lakewood Stables does not assume the care, custody, or control of any personal property or equipment brought upon property. 10. If not riding, leave the arena promptly after a lesson if the arena is crowded, if the arena is at capacity (8 horses), and if others are waiting to enter the arena. 11. Trainer acknowledges and agrees that he/she is not an employee, independent contractor, agent, representative, or other affiliate of Lakewood Stables, but is merely issued a permit to use Lakewood Stables to provide horse training and/or riding instruction to Trainer’s own clients. The undersigned Trainer agrees not to advertise or represent him/herself as an employee, independent contractor, agent, representative, or other affiliate of or for Lakewood Stables, advertise or represent his/her training or instruction services as a Lakewood Stables program. . 12. Lakewood Stables reserves the right to revoke any permit issued to a Trainer without reason due to misrepresentation, misconduct of, or misuse of property by Trainer, Trainer’s students or other individuals associated with Trainer or Trainer’s use of Lakewood Stables, failure to comply with Lakewood Stables Rules Regulations or for any other reason deemed necessary or desirable by Lakewood Stables in its sole discretion. 13. Lakewood Stables reserves the right to modify these Rules and Regulations at any time and without advance notice. 14. The names of registered trainers permitted to train horses and provide riding instruction at Lakewood Stables will be posted in this web page. 

I AKNOWLEDGE