Summer Camp Registration

Rider's Name*

First NameLast Name

Rider's Age*

Height*

Weight*

Rider's Experience*

Guardian's Name

First NameLast Name

E-mail

I understand by clicking the button below, I am subscribing to receive email messages from Pony Tail Acres regarding appointment reminders or other marketing messages. I may opt out at any time by replying STOP to any message. I am also agreeing to receive reminders or marketing messages via email message.

Phone Number*

I understand by clicking the button below, I am subscribing to receive text messages from Pony Tail Acres regarding appointment reminders or other marketing messages. I may opt out at any time by replying STOP to any message. I am also agreeing to receive reminders or marketing messages via text message.Format: (000) 000-0000.

How did you hear about us?

What are your riding goals for summer camp?*

June 9th to 13thJune 23 to 27thJuly 7th to July 11

Summer Camp Application