2024 Summer Camp Registration Form

2024 Summer Camp Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Alberta Health Care number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 1*

First NameLast Name
Mobile Number (Main Contact)*
Secondary Phone Number
Parent 2*

First NameLast Name
Mobile Number (Main Contact)*
Secondary Phone Number
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Please select any that apply.*

Are there any drug, environmental, or food allergies?Are there any medical conditions that we should support?Does this rider have braces, mouth pieces or dentures?Does this rider wear contact lenses or eyeglasses?Is this rider on any ongoing medications?NoneOther
If any of the above selected, please explain.
Previous Riding Experience *
Select a Camp, will update website if they become full. Will email back if selected camp does not have room in it.*
Select a Second Camp if doing Multiple.
What size T-Shirt would you like for camp craft activity*

youth smallyouth mediumyouth largeadult smalladult mediumadult largeadult XLAdult 2XL
Are you interested in doing summer evening lessons? Will Contact with more info if interested.*

PrivateSemi-PrivateGroupNo Thanks
For experienced students, some of our personal horses might be available for part leases for supervised rides without instruction, or the option to go to local fun shows/events. If interested select below and we will contact to discuss more.*

Supervised lease rideDoing local horse showsDoing local horse shows on my own horse.No Thanks
Should be Empty: