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JR. PONY CAMP

1150 Miller creek rd. Batesville, AR 72501
We cannot wait to see y'all! Our pony camp is from 8am-11am July 22nd-24th. Water and snacks will be provided throughout the day. Please have your kiddo dressed in clothes you don't mind them getting dirty or wet in (it's a farm) & a change of clothes daily! Closed toed shoes are a MUST, sunscreen lotion wouldn't hurt (some will be available here also).Please reach out to me if you have any questions (870)283-2164.
Riders Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Riders Address
Youth XSYouth SYouth M
Never riddenRidden a few timesSome lessonsCompetent walk/trot/lope
Yes, must wear helmetNo
Parent/ Guardian name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does your child have any allergies, sensitivities, medications or special needs?
Is there anything else you feel we should know about your child in the day camp? (medical, behavioral or other concerns)
Hold Harmless and Emergency MedicalTreatment Release: I understand that the caring for and riding of horses is an inherently dangerous activity. I understand that riding and working around horses may include mishaps such as falling off which may result in injury or death. I agree to indemnity and hold harmless Diamond D Equine and Destiny Gillihan, its assignees and employees from and against all claims and liabilities including incidental cost and expenses, for injury or death of any person or persons, or for loss or damage to any property, including but not limited to both vehicles and horses, arising from or in any way connected with the performance of services or the teaching provided by Diamond D Equine., its signees or employees. I have read and + ent to the above Hold Harmless and ergency Medical Treatment Release:
A $75 non-refundable deposit is required to hold the riders spot, order T-shirt, craft supplies, snacks, etc.

The remaining $75 will be due the first day of camp.

My PayPal is gillydes@icloud.com

Cashapp is $destinygillihan

Venmo is Destiny-Gillihan

If you do not have any of these apps, message me at (870)283-2164 and we will get a different form of payment figured out. Thanks!
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JR. PONY CAMP