Caustelot Farms Camp Registration Form

Caustelot Farms Summer Camp Registration Form
Camper's Information

Personal & Health & Contact
Name

First NameLast Name
Birth Date

MonthDayYear
Age (at time of camp)
Grade (entering this fall)
T-shirt Size:

Youth SmallAdult SmaillYouth MediumAdult MediumYouth LargeAdult Large
List Any Allergies and Dietary Restrictions
Medications & Frequency
Email
example@example.com
Phone Number

Area CodePhone Number
Parent / Guardian Information

(All correspondence and and invoices will be sent to this person)
Name

First NameLast Name
Email
example@example.com
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship with the Camper
Emergency Contacts and Authorized Pick Up Persons
Camper would like to be placed in same group as another camper
Does Camper have any riding experience

No Riding ExperienceReturning CamperTakes Weekly Riding LessonsOccasional RidingOnly rides at Camphas trotted unassistedCanters or Lopes
Please Check Riders Experience

No Riding ExperienceReturning CamperTakes Weekly Riding LessonsOccasional RiderOnly Rides at CampHas Trotted UnassistedCanters or Lopes
My Products
prevnext( X )
Week 1$420.00
June 9th - June 13th

Week 2$420.00
July 7th - July 11th

Week 3$420.00
July 14th -July 18th

Week 4$420.00
July 28th - Aug 1st

Total $0.00
Horses you have ridden at Caustelot

BillMurphyGooseWranglerCruiserCasinoWillzyArnoldCrystalSplash
Should be Empty:

Caustelot Farms Summer Camp Registration Form