Clone of PAEC March Break Camp Registration

PAEC SUMMER CAMP REGISTRATION

Please fill out all fields. All prices are subject to HST. Invoices will be sent upon receiving this form.
Rider Name*

First NameLast Name
Date of Birth:*
Camper's Riding Experience*

No previous riding experience (or has attended one year of camp.)Minimal Experience - Rider cannot ride independently at more than a walk.Moderate Experience - Rider can walk/trot independently.Increased Experience - Rider can canter or has started cantering.Advanced Experience - Rider is jumping in regular lessons.
Camper is currently enrolled in (At PAEC or elsewhere)*

No regular lessons.Weekly lessonsHas only attended camp
Parent/Guardian Name*

First NameLast Name
Relationship to Child*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Does the child have any medical conditions? *
Does the child have any allergies to food, medications, or insect bites?*
Primary Care Physician Name:*
Phone Number:*
EMERGENCY CONTACT

Please provide details for individual in the instance that the parent/guardian cannot be reached.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to Camper:
Camp Options*
prevnext( X )
Session 1 - Monday July 6 - Friday July 10Price subject to HST. Invoice will be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity



Session 2 - Monday July 13 - Friday July 17 Price subject to HST. Invoice will be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity



Session 3 - Monday July 20 - Friday July 24Price subject to HST. Invoice will be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity



Session 4 - Monday July 27 - Friday July 31Price subject to HST. Invoice will be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity



Session 5 - *SHORT SESSION* Tuesday August 4 - Friday August 7Price subject to HST. Invoice will be sent through Quickbooks upon receiving this entry.
$440.00CAD Quantity



Session 6 - Monday August 10 - Friday August 14Price subject to HST. Invoice will be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity



Session 7 - Monday August 17 - Friday August 21Price subject to HST. Invoice to be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity



Session 8 - Monday August 24 - Friday August 28Price subject to HST. Invoice to be sent through Quickbooks upon receiving this entry.
$550.00CAD Quantity
ACKNOWLEDGEMENT & WAIVER
RELEASE OF LIABILITY, WAIVER OF CLAIMS

ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS

ACKNOWLEDGEMENT-SAFETY

I am aware that the physical exertion required of certain EQUESTRIAN ACTIVITIES and the forces exerted on the body can activate or aggravate pre-existing physical injury, conditions or congenital defect. I acknowledge that I should seek medical advice if I know or suspect that my physical condition may be incompatible with EQUESTRIAN ACTIVITIES. I am advised to obtain appropriate medical or accident insurance before commencing these activities. In the event this Release is signed by a parent or guardian on behalf of a child under the age of Eighteen (18), it shall be read with all necessary changes to be applicable to that child.

ASSUMPTION OF RISK

I am aware that EQUESTRIAN ACTIVITIES involve risks, dangers and hazards, but not limited to: Horses including those normally well behaved, are unpredictable and may spook, bolt, buck, rear, kick, bite, trample, fall and otherwise cause injury including death to persons and damage to property including other horses;

The facilities and terrain may involve surfaces, both artificial and in a natural state, that may not have been ridden or traveled before and are not regularly patrolled or inspected and may contain many obstacles and hazards that may be unmarked;

Medical, ambulance, fire and police are remote and in the event of an accident, rescue and assistance may not be immediately available;

Weather and lightening condition may be extreme and can change rapidly and without warning;

Safety gear, horse tack, stable equipment, fencing, gates and other equipment fixtures may fail or be in disrepair;

The RELEASEES or other persons may be negligent in the conduct, pursuit, or arrangement of the EQUESTRIAN ACTIVITIES or in the provision of services or materials related thereto resulting in injury or death to persons or damage to property.

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH EQUESTRIAN ACTIVITIES, INCLUDING NEGLIGENCE, AND I FREELY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS ASSOCIATED WITH EQUESTRIAN ACTIVITIES, INCLUDING NEGLIGENCE, AND THE RESPONSIBILITY FOR PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS THEREFROM.

I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT PRIOR TO SIGNING IT. I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS THAT I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. I AM AWARE OF MY ABILITY TO OBTAIN INDEPENDENT LEGAL ADVICE.
OTHER NOTES:
- Camp hours are 9-4.
- Campers must bring their own appropriate footwear.
- Campers WILL NOT be able to ride if their footwear is deemed unsafe.
- Campers must bring their own ASTM certified equestrian helmet. Rental helmets will not be available.
- Unfortunately, bike and hockey helmets are not acceptable.
- Campers MUST ride in long pants.
- Each camper can bring a change of clothes, including closed toed shoes to change into after riding. They can also bring a bathing suit and towel for swimming in our life gaurd supervised swimming pool.
  
  Local stores:
https://greenhawk.com/
https://bakerssaddlery.com/
CANCELLATION POLICY
Cancellations made 30 days or more prior to the start of camp are eligible for a refund minus a $75 administration fee.

Cancellations made 8–29 days prior to the start of camp will be subject to a $250 + HST cancellation fee.

No refunds will be provided for cancellations made within 7 days or less of the camp start date or once camp has commenced. Date changes may be accommodated based on availability.
By signing below I acknowledge that I have read and agree to the acknowledgement and waiver above. I understand that my child will not be able to ride if they are not sent with the appropriate helmet and footwear.

I give permission that my child may be photographed, videotaped, and/or interviewed for the purpose of the Camp's promotional use.

I understand that submitting this form does not guarantee my selected day(s) and payment is required in order to confirm registration.

Payment can be made to payments@pauseawhileequestrian.com or contact us for alternate methods.
Signature*

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PAEC SUMMER CAMP REGISTRATION

EMERGENCY CONTACT

ACKNOWLEDGEMENT & WAIVER

CANCELLATION POLICY