RIDER Profile Sheet, CTRC, Big Bend Trip
Please fill out and mail to: Carol Grosvenor, 231 Prochnow Road, Dripping Springs,
TX 78620. Note, this page may look terrible in some older browsers, since
it was generated in a print program. If this is the case, please
use the PDF file instead. Even if you are a club member, please go ahead and fill this out with insurance
information. Thank you!
Name
Address:
Home Phone / or mobile contact no:
Email address:
Insurance Provider, Policy Number, Insurance Phone Number
Emerency Contact (relationship and contact numbers)
Medical conditions, dietary restrictions and age (rider)
What is your experience with horses (competition, discpiplines, certifications, etc.)
Would you rank you and your horse as an ❒ Experienced, well-oiled team, you’ve trusted this horse with your life ❒ Intermediate team (good, but somewhat untested) as yet ❒ Not perfect, horse not completely trustworthy in some instances ❒ Green horse, less than 18 months under saddle
❒ Novice Rider (less than 2 years experience riding, or few lessons), liimited trailriding ❒ Other, explain.
Do you have a medical background? ❒yes ❒no Please explain.
Were you in USPC? ❒yes ❒no How long, what was your exit rating?
Were you a Boy or Girl Scout? ❒yes ❒no How long, what rank?
Stable vices / lameness issues, any medical conditions we need to be aware of?
Could you and your horse go alone for help in an emergency — fast, hard, & over rough terrain? Very experienced riders only. ❒yes ❒no
Do you have a truck and trailer? ❒yes ❒no How many horses can you haul including your own ❒2 ❒3 ❒4 ❒other
If you are a medical person, would you be willing to render aid in an emergency? (horses and /or people) ❒yes ❒no
Do you have any experience in wilderness survival and /or camping or packing? ❒yes ❒no Certifications? Explain.
Do you know how to use a compass? ❒yes ❒no Do you know how to use a GPS? ❒yes ❒no Do you own a GPS you could bring? ❒yes ❒no
Do you have any farrier experience? ❒yes ❒no Do you have any packing experience? ❒yes ❒no
Would you be willing to teach your area of expertise at a prep ride clinic in late fall? ❒yes ❒no Area of Expertise?