River Chase Farm Summer Camp

Summer Camp 2023 Registration Form
Come join River Chase Farm for our Summer Camp!

Ages 5 years old and up are welcome

Full Day $500/week 9am-4pm

(extended care available for $100/week or $25/day)

Half Day "Pony Pals" $250/week 9am-12pm

*50% deposit required at registration to hold your spot*
Camper Name #1*

First NameLast Name
Camper Age*
Has Camper #1 ever taken a lesson or attended a camp at River Chase?*
Camper Name #2 (if applicable)

First NameLast Name
Camper Age #2 (if applicable)
Has Camper #2 ever taken a lesson or attended a camp at River Chase? (if applicable)
Parent/Guardian Name #1*

First NameLast Name
Parent/Guardian Name #2

First NameLast Name
Parent Email (for camp correspondence)*
example@example.com
Parent Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Riding Experience Camper #1*

WalkTrotCanterJump
Riding Experience Camper #2 (if applicable)

WalkTrotCanterJump
Please select the week(s) you would like to register:*

June 19-June 23June 26-June 30July 3-July 7July 10-July 14July 17-July 21July 24-July 28July 31-August 4August 7-August 11August 14-August 18
Type a question*

Full DayHalf Day
Additional Comments
Should be Empty:

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Summer Camp 2023 Registration Form