Open Arms Summer Camp Registration Form

Open Arms Summer Camp

Monday-Friday 9:30am-4:00pm $450/week
Student Name*

First NameLast NameNick-Name
Student Birth Date*

MonthDayYear
Parent/Guardian Name*

First NameLast Name
Gender*
Email*
example@example.com
Mobile Number*
Work Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Summer Camp Week*
Summer Camp Week*
Summer Camp Week*
Summer Camp Week*
Summer Camp Week*
Summer Camp Week*
Riding Experience*
Additional Comments/Pertinent Medical Information/Allergies