4 Steps Horse Rescue Spring Kids Camp Registration

4 Steps Horse Rescue Spring Kids Camp Registration Form

These forms are required for your children to attend camp. 4 Steps Horse Rescue is operated and located at Crazy 8 Ranch.
Camper's Information
Camper Name*
Nickname/Preferred Name
Age*
Date of Birth

MonthDayYear
Date
NOTE - Children need to be able to use the bathroom on their own before they are eligible to participate in traditional day camp.
T-Shirt Size
First Day at Camp

MonthDayYear
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*
Cell Phone*
Home Phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would you like to be reached while your child is at camp?*

Cell PhoneWork PhoneHome Phone
Parent Info

Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

Yes
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Work/School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would parent/guardian 2 like to be reached while your child is at camp?

Cell PhoneWork PhoneHome Phone
Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number
Relationship to Child*
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Secondary Phone Number
Relationship to Child

Choose a payment option.*

Cash- Pay on First dayCheck- Turn in a Week prior made out to Marcia DeCampPayPal- select how many days/weeks your child will be attending
Payment and Statement of Understanding
4 Steps Horse Rescue at Crazy 8 Ranch has permission to secure emergency transportation for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.*
Type first and last name above to consent
Sign Document*
Date Signed

MonthDayYear
Date
If you would like to pay in Cash, FULL payment must be made upon first morning arrival.
My Products
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Kids Camp Full Week$300.00
5 weekdays from 8am - 5pm. Parent is responsible for lunch, snacks and drinks other than water.

Quantity

Kids Camp Full Day$75.00
Full day is 8am - 5pm. Parent is responsible for lunch, snacks and drinks other than water.

Quantity

Venmo, PayPal, Card Fee$5.00
This covers some of our fees from PayPal and Venmo when they process payments for us. Thank you!

Total $0.00
Payment Methods

Please click one of the PayPal options to complete payment and submit the form.
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4 Steps Horse Rescue Spring Kids Camp Registration Form

Camper's Information

Parents' Information

Parent Info

Emergency Contacts/Authorized Pickup

Medical / Health Information

Payment and Statement of Understanding