Summer Camp 2023 Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Birth Date
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
January
February
March
April
May
June
July
August
September
October
November
December
Month
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Contact Number - This should be the best one to contact you!
*
Phone Number
Emergency Contact
*
Emergency Number
*
Summer Camps
*
prev
next
( X )
July 17th-21st, 2023 Early Bird
A week of fun with horses, I Can Help Equine First Aid and crafts. 10am to 4pm, Monday to Friday. Before and aftercare available upon request for a fee. No meals included.
$
550.00
CAD
August 14th-18th, 2023 Early Bird
A week of fun with horses, I Can Help Equine First Aid and crafts. 10am to 4pm, Monday to Friday. Before and aftercare available upon request for a fee. No meals included.
$
550.00
CAD
Riding Level
*
Beginner (Never ridden or very new to riding)
Intermediate (Are comfortable at Walk, and Trot and have an understanding of horses)
Experienced (Are very comfortable at a walk, trot and lope, and have a good understanding of horses)
Helmet Rental
*
Please Select
Yes
No, I will provide my own Equestrian Certified Helmet
Allergies
Additional Comments
I understand pictures will be taken during the camp and that these will be shared with the families from the camp and be used in our media.
Please Select
I understand and agree to allow pictures of my child to be used for media and shared with the other participants.
I do not wish for pictures of my child to be used or shared.
Signature
Clear
Save
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform