Summer Horse Camp Registration Form

    Camper’s Name

    Mother’s Name

    Father’s Name

    Mother’s Phone Number

    Father’s Phone Number

    Emergency Contact Name

    Emergency Contact Phone

    Emergency Contact Relation

    Home Address

    Gender

    Horse Selection

    If bringing own horse, describe:

    Any health concerns (allergies etc.)?

    If yes, how can we help?

    Who will pick up your child?

    Prior horseback riding experience?

    If yes, describe experience:

    Tell us about your child

    Waiver & Agreement

    Medical Consent