CSG Horsemanship camp registration form

CSG Horsemanship Camp Registration Form

Fill out the form carefully for registration. Upon submission of your registration form, you should receive an invoice for a down payment of $100.00. Down payment in non-refundable, unless your desired session does not receive enough registrations or is already filled. If you would like to register for more than one session please make note of it in the "Special Instructions" box.
Parent/Guardian Name

First NameLast Name
Camper Name

First NameMiddle NameLast Name
Camper Birth Date

MonthDayYear
Gender
First choice session
Second choice session
Third choice session
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Mobile Number

Area CodePhone Number
Phone Number

Area CodePhone Number
Work Number

Area CodePhone Number
Company
IN CASE OF EMERGENCY primary contact name:
ICE primary contact phone number:

Area CodePhone Number
Please list allergies, food allergies, or any other health concerns for camper.
Please list any medications and instructions.
Please enter health insurance provider and policy number.
Do you require different drop off/pick up time?
Will camper be bringing their own horse? All horses must have a current rabies vaccination and Coggins test.
Please describe camper's current level of riding.
Additional Comments or Special Instructions
Should be Empty:

CSG Horsemanship Camp Registration Form