Junior Membership

Parent/Guardian's Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Halifax Lancers is committed to fostering an environment of belonging where all people can enjoy the amazing benefits of interacting with horses while feeling respected, valued, safe, and welcome. The following questions are being asked to help us better understand the ethnicity, gender identification, or disability of the future riders on our waitlist. Halifax Lancers wants to foster an environment of belonging for all people and we are committed to making our membership reflective of those on our waitlist and of the population of Halifax. *

Ethnicity

Asian/South Asian

Middle Eastern/Arabic

Latino or Hispanic

Indigenous/Mi’kmaq

African

Black

White

Other

Prefer Not to Answer

Are you newly immigrated (0 -3 years) to Canada? *

Yes

No

Prefer not to answer

Rider's pronouns: *

Her/She

Him/He

They/Them

Other

Prefer Not to Answer

Ableism

Sensory impairment (vision or hearing)

Physical impairment (e.g. multiple sclerosis, cerebral palsy, epilepsy)

Other

Prefer Not to Answer

Not applicable

I understand that any rider entering the Junior Membership must, at minimum, be able to tack and groom (independently but with supervision), walk, trot, and canter unaided (e.g. off the lunge-line) *

Yes, I understand

I understand that Lancers has high demand and limited capacity so it may be some time before there is a space for my child to register for the Junior Membership *

Yes, I understand

I understand that if my child gains riding experience at another facility while waiting for a space at Lancers, I should notify the Lancer office to update my child’s file (please email office@halifaxlancers.com) *

Yes, I understand

I understand that Lancers usually contacts individuals on the waitlist once or twice a year. If I have not heard from Lancers, it means there is not yet a space for my child to register. I also understand that I am welcome to contact Lancers to ensure my child is still on the waitlist. *

Yes, I understand