Camp Registration Form

2024 Summer Camp Registration Form

Fill out the form carefully. PLEASE NOTE: Space is not reserved until 50% deposit is sent.
Hours: 9am-4pm

Camp Cost: $550

Horsemanship Clinic Cost: $450

Camper Counselors: $350

*Camper Counselors must be approved by Claddagh Manor Team
Camper Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Mobile Number
Phone Number
Work Number
Which week will camper attend?

Horsemanship Mini-Camp (6/19-6/21)Camp Claddagh (7/15-7/19)Camp Claddagh (8/19-8/23)Camp Claddagh Camper Counselor (7/15-7/19)Camp Claddagh Camper Counselor (8/19-8/23)
Person(s) authorized to pick up camper:
Has camper ridden before?

YesNo
Has camper taken lessons? If so, who is his/her trainer?
Does camper have any physical/medical and/or disorder which may affect his/her safety at camp and/or ability to ride? (Allergies, etc.)
I grant permission to Claddagh Manor to use my Child's image, photographs and/or video for use in Media publications including but not limited to videos, social media, print and digital advertising.

YesNo
Additional Comments
In consideration of using horses & equipment owned by, or in the case, custody & control of Claddagh Manor Farm, the undersigned “Licensee” & family, estate, heirs or assigns hereby agrees to release/hold harmless Claddagh Manor Farm, its agents & employees from & against any claim, action, damage, loss of liability paid, damages, whether or not foreseen or unforeseen, as a result of using such equipment & horses. Licensee hereby assumes liability & responsibility for any loss to such equipment & horses & agrees to return them in the same condition as received. Licensee has read & agrees to be bound by the rules & regulations affecting equipment/horse usage. An authorized agent or employee of Claddagh Manor Farm will announce such rules. Licensee acknowledges having been advised horses are sometimes unpredictable & there is a risk involved in riding. With such knowledge, Licensee hereby agrees to assume such risk. Claddagh Manor Farm does not carry medical insurance for its campers & customers.

Bring Own Riding Equipment If Possible!

Claddagh Manor Farm has the right to refuse or terminate the enrollment of any child who, in its sole discretion, presents a danger to himself, herself, other campers, staff, the horses or the facility.

I (WE) HAVE READ THE ABOVE RELEASE OF LIABILITY AND UNDERSTAND ITS PROVISIONS.
Signature

Clear
Print Name

First NameLast Name
Date

MonthDayYear
Date
A DEPOSIT OF ONE-HALF OF THE TOTAL AMOUNT IS DUE AT TIME OF REGISTRATION; HOWEVER, PARENTS MAY PAY THE ENTIRE AMOUNT AT TIME OF REGISTRATION.

Payment can be made via Cash, Check or Venmo.

Venmo: @Dennise-Petronelli

Check made payable to: Claddagh Manor
Should be Empty:

2024 Summer Camp Registration Form