2025 Summer Horseback Riding Experience Registration Form

2025 Summer Horseback Riding Experience
Daily activities include: A mounted horseback riding lesson, horsemanship, barn management, games, arts & crafts.

Please bring: a snack, lunch, water bottle, and labeled riding gear (helmet, paddock boots, gloves), ankle length pants, sunscreen, and a change of clothes (shorts and sneakers), and a towel. Please note that flip-flops and open toed shoes are never allowed.
Rider's First & Last Name
Rider's Current Grade ('24-'25 school year)
Weeks 1-4

For riders currently enrolled in our lesson program

Monday through Friday, 9:00am-1:30pm

Multi-week Discounts Available!!

Single Week: $550

Two Weeks: $1080 Three Weeks: $1620 (Save $10/Week!)

Four Weeks: $2100 (Save $25/week!)
For Riders Currently Enrolled in our Lesson Program:

Week 1: July 7-11 **FULL - WAITLIST ONLY**Week 2: July 14-18 **FULL - WAITLIST ONLY**Week 3: August 4-8 **FULL - WAITLIST ONLY**Week 4: August 11-15 **FULL - WAITLIST ONLY**
New Riders Week

Open to riders NOT currently enrolled in our lesson program, riders with no or little riding experience, or experience in other riding lesson programs.

TUESDAY-Friday July 22-25 (No Camp on Monday 7/21)

9:00-1:30

Single Week: $525
New Riders Week

New Riders Week: July 22-25
New Rider's Height
New Rider's Weight
New Rider's Horse Experience:
Please complete for ALL riders:
Parent's (or legal Guardian's) Name:

First NameLast Name
Cell Phone:
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact 1:

First NameLast Name
Emergency Contact 1 Phone Number:
Please enter a valid phone number.
Emergency Contact 2:

First NameLast Name
Emergency Contact 2 Phone Number:
Please enter a valid phone number.
Allergies:
Does your Rider carry an EpiPen?

YESNO
Medical information that is important for us to know, including any diagnoses your Rider may have:
A non-refundable deposit of $200 per week is due at the time of registration to hold your Rider's spot. No spot will be held without a deposit for each week.

The balance is due on or before April 1st, 2025

Payments may be made by Venmo (Friends and Family ONLY) @Rebecca-Segaloff. Cash and Checks (made to Capstone Farm) may be either dropped at the farm or mailed to:

Rebecca Segaloff

2 Bucket Mill Ln., Walpole, MA 02081

**PLEASE DO NOT MAIL CHECKS TO THE FARM ADDRESS**
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2025 Summer Horseback Riding Experience

Weeks 1-4

For riders currently enrolled in our lesson program

New Riders Week

Please complete for ALL riders: