PLEASE PRINT, COMPLETE THE ATTACHED FORMS AND RETURN TO CPS at Delaware Valley University, 700 E. Butler Ave, Doylestown, PA 18901

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1 July 10, 2018 Dear Equine Camp Families, Welcome to Delaware Valley University! Our 2018 camp season is only weeks away. We are very excited to be offering a great variety of specialty camps and academies on our Delaware Valley University campus. As we prepare for our camper arrivals, we have provided this Welcome Packet that includes important information that is specific to campers who will be riding with us this summer. Paperwork must be returned by the start of camp. Campers may not attend if this paperwork is not returned. PLEASE PRINT, COMPLETE THE ATTACHED FORMS AND RETURN TO CPS at Delaware Valley University, 700 E. Butler Ave, Doylestown, PA Each day, campers will meet at the front of the Equestrian Center by 9 a.m. and be greeted by our instructor. Attendance will be taken and campers will store their lunches in the full size refrigerator located in the barn office. Students will take part in their riding lessons in the morning. Then there will be a break for lunch followed by a discussion about what the students learned during their lesson. The day will end with a horsemanship lecture. Parents should arrive in front of the Equestrian Center by 3 p.m. for dismissal. Parents will be asked to show identification and sign a dismissal book. Punctual drop off and pick up is critical to allow us to maintain the daily schedule and ensure all campers stay with their groups at all times. Directions to the Equestrian Center 1. Enter from the main entrance on Follow the road to the right, dorm buildings will be on the left. 3. Continue until you reach a stop sign. 4. Turn right. 5. Remain right to go under the tunnel. 6. Immediately after the tunnel, turn right. 7. Once you turn, you will see the Equestrian Center on the left. 8. Follow this road until you reach the Equestrian Center entrance on the left. Students are expected to provide the following items: Helmet (ASTM approved) Riding boots (tall boots, or paddock boots with chaps) Set of Polo wraps, either black or white Lunch and two snacks for each day We are looking forward to having your child on campus this summer. If you have any questions, please do not hesitate to contact me. Best Regards, Carol Ricci, CPS Equine Riding Camp Coach

2 This page to be signed by physician or verified by clinic stamp Check each item in the proper column or enter N.A. if not evaluated Name: Re: Horse Back Riding AREA OF EVALUATION NORMAL ABNORMAL DETAILS OF EACH ABNORMALITY Head, Neck, Face, Scalp Nose and Sinuses Ears (perf. of drum, etc.) Eyes (lids, conjunctiva, etc.) Pupils and Ocular Motion Lungs, Chest, Breasts Heart (include estimate of cardiac function) Vascular System (varicosities, etc.) Abdomen and Viscera (include hernia) Upper Extremities (strength, range of motion) Feet Lower Extremities (strength, range of motion) Spine, other Musculo-skeletal Neurologic Other Is this child able to participate without restriction in HORSEBACK RIDING? Yes No If No what activities are to be eliminated? Has the child ever experienced any head injuries? If yes, please describe while indicating the number of injuries and date of occurrence. Height: Weight: BP: Pulse: Physician s Signature Date Physician s Name (Print or Type) Office Address Telephone

3 Name: Date of Birth: Address: Height: Weight: Any Preexisting Conditions: In order to ensure the safety of both the Delaware Valley University Equestrian Center ( the Facilities ) horses and guests, there are certain requirements for horse back riders. There is a 200 pound weight limit for all riders, inclusive of riding gear, which will be verified by a scale which is available on site. If your total weight with riding gear exceeds 200 pounds, please contact the Equine Studies Director to discuss possible accommodations. By signing below, I verify that my physical health is sufficient for riding horses and will notify the Director of the Equine Studies Program of any preexisting health conditions which may limit my riding and/or safety in anyway. I understand that the Equine Studies Program Director needs the information listed below to ensure the safety of all when undertaking horseback riding activities, and authorize such parties to share this information with the appropriate parties. I hereby grant permission to the University, qualified Equine Studies staff, and the University s health care providers to render first aid treatment and medical or surgical care deemed reasonably necessary in emergency situations. I hereby release and forever discharge the University, its employees and agents, and any other person acting on its or their behalf, from any responsibility or liability, even if caused by the negligence of the University, its employees or agents or any other person acting on its or their behalf, for any loss, injury or damage to myself or my property or equipment (including any animal) occurring in connection with my use of the Facilities or my presence on or about the University s property or use of any of the University s other facilities, including any claim on account of any first aid, treatment or service provided to me while on University property. I further agree to indemnify and hold the University, its employees and agents, and any other person acting on its or their behalf, from and against any loss, claim, injury or damage to any and all persons and property, including, without limitation, the University, its employees and agents, arising in connection with my use of the Facilities or my presence on or about the University s property or use of any of the University s property or other facilities. This Agreement and Release of Liability is a contract undertaken in connection with my use of the Facilities and is intended to apply to the fullest extent permitted under the laws of the Commonwealth of Pennsylvania. If any part hereof is held invalid, the balance shall nonetheless continue with full legal force and effect. Signature (Guardian if under 18 years of age) Date

4 1. Absolutely NO SMOKING anywhere inside the stable, student lounge, or anywhere inside the perimeter fencing. Smokers may smoke ONLY in the student parking area. There are containers supplied there to extinguish cigarettes. Please DO NOT extinguish cigarettes on the ground. 2. Absolutely NO ALCOHOLIC BEVERAGES OR ILLEGAL SUBSTANCES inside the stable or anywhere on the Equestrian Center grounds. 3. Cruelty/abuse of ANY horse stabled at the Equestrian Center WILL NOT be tolerated. Students caught abusing a horse will automatically fail their riding or management class and be excused from the Equestrian Center for the remainder of the semester. Serious incidents will be brought before the Vice-President for Academic Affairs and could result in dismissal from the program. 4. Friends and visitors accompanying students to the Equestrian Center are to stay ONLY on the Mezzanine/Gallery level or bleacher area unless accompanied by an Equine Studies student or staff member. 5. No running or shouting on the mezzanine level or in the stable. 6. Crude behavior and the use of profanity will not be tolerated. 7. NO RIDING is permitted outside of the perimeter fencing (except the outdoor ring) unless a faculty member is with the student and NO JUMPING is permitted without an instructor or authorized person present. 8. All students riding at the Equestrian Center ARE REQUIRED to fill out an appropriate waiver form before riding. No students other than Equestrian Center staff members are to be in the Equestrian Center after 6 p.m. (Equestrian/Dressage/Vaulting Team members see appropriate coach). 9. All personal tack and equipment (e.g., brushes, polos, etc.) is to be visibly and permanently marked with the student s name and kept in your assigned locker. All personal equipment/clothing found in the tack room, feed room wash stalls, or other community stable areas, will be placed in the lost and found box. Clothing, book bags, etc., may not be left anywhere in the stable except in your assigned locker. PLEASE place all personal articles in your locker during class time. The Equestrian Center is not responsible for the loss of personal items or equipment. 10. The Equestrian Center s tack and equipment is to be maintained in accordance with established Equestrian Center procedure and then placed back in its proper place. Tack or equipment is not to be left out in the cleaning areas, indoor or outdoor rings, or other community stable areas. Theft of college property will not be tolerated and will be reported to Public Safety and the Vice-President for Academic Affairs and could result in dismissal from the college. 11. Students are to keep all community stable areas and wash stalls neat and orderly in accordance with established Equestrian Center procedures. 12. Use of cell phones is NOT PERMITTED within the stable area or while working with or riding horses. 13. Personal devices such as ipods and MP3 players are not allowed to be used in the Equestrian Center (including while doing barn work). 14. When classes are in session, all dogs must be on a leash attached to a person while in the Equestrian Center. Disruptive dogs will be asked to leave and may not be allowed at the Equestrian Center Complex.

5 1. Jewelry should be kept to a minimum. Bracelets and necklaces must be breakable and may only be worn under clothing. NO neckties, chains, rings (except engagement or wedding rings), or drop/hoop earrings are to be worn while riding or working in the Equestrian Center. 2. Appropriate RIDING GLOVES must be worn while longeing and may be required for certain riding classes. 3. The use of WORK GLOVES is mandatory when handling horses outside of the stable (e.g., turning out horses, leading horses to and from walker) and it is suggested that they also be worn for protection while performing manual chores (e.g., cleaning stalls, sweeping, raking arena, stacking hay, moving jumps). 4. A RIDING HELMET with strap fastened is to be worn at all times while riding or driving. The helmet must be ASTM and SEI approved, inspected by a DelVal riding instructor and has a tag dated within the last five years. 5. RIDING BREECHES with DRESS, FIELD BOOTS, or PADDOCK BOOTS WITH HALF CHAPS must be worn while riding. An appropriate WORKING BOOT is to be worn while working in the stable. Street or tennis shoes are not acceptable. 6. SHIRTS are to be tucked into breeches or pants at all times. To maintain a professional appearance, collared shirts with belts are required when in the stable for work, riding or driving, or other classes. In colder weather, students should wear warm, professional attire as per industry standard. Appropriate dress will be addressed in course syllabi and with the Stable Manager. Please see Equine Science & Management faculty and staff with questions. 7. LONG HAIR is to be tied back at all times. 8. When jumping, a PROTECTIVE BODY VEST must be worn by any student with any pre-existing back condition(s) and by students jumping cross-country. Students who violate the dress code will not be permitted in the stable.