Clone of HORSEBACK LESSON ENROLLMENT

SUMMER CAMP ENROLLMENT
How did you hear about us?*

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Camper's Name*

First NameLast Name
Age of Camper*
First Parent's Name*

First NameLast Name
Second Parent's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

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Postal / Zip Code
First Parent's Phone Number*
Please enter a valid phone number.
First Parent's Email*
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Second Parent's Phone Number*
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Second Parent's Email
example@example.com
Emergency Contact's Name*

First NameLast Name
Emergency Contact's Phone Number*
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Which Summer Camp Session would you like to register for?*

Week 1: June 1st - 5th, 2026Week 2: June 15th - 19th, 2026Week 3: July 6th - 10th, 2026Week 4: July 20th - 24th, 2026Week 5: August 3rd - 7th, 2026
What is the camper's T-Shirt size?*
Are there any special physical, health, disabilities, challenges, or allergies that we need to be aware of?*

YesNo
If you answered "yes" to the above please let us know more detail here:
FOR SAFETY, WE MUST FOLLOW THESE GUIDELINES

Small children & siblings – must sit quietly near their parents or guardian. Crouching on the ground, running, squealing or throwing things can frighten horses and we want everyone to be safe.

No smoking or vaping on premises; hay burns quickly; barn fires are devastating.

Touching, petting and feeding horses: we know this is fun but it is dangerous because horses have powerful teeth. Please do only under your instructor’s supervision and do not pet privately owned horses in the barns without permission please.

If you are behind a horse, please remain 10 feet back in case the horse decides to kick out his back legs. Please stay at least 4 feet from the side of the horse unless you are a student.

Dogs are not allowed in the barn or to be walked on the road where lessons take place. We love dogs but horses may mistake them for predators and become frightened.

Things that can frighten a horse include but are not limited to: camera flashes, umbrellas, bicycles, ball throwing, loud noises, walkers and wheelchairs.

Please follow directions or requests given by the staff members.
Please verify that you are human*
I agree to the guidelines and policies listed above, and all information in this registration form is true to the best of my knowledge.
Date*

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SUMMER CAMP ENROLLMENT