Day Camp Registration and Release 2026

Name of Primary Caretaker*

First NameLast Name
Phone Number of Primary Caretaker*
Please enter a valid phone number.Format: (000) 000-0000.
Email of Primary Caretaker*
example@example.com
Relationship to Participant:*
Street address/phone (if different from above):
How did you hear about ANT?

Liability Release
Participant Name* would like to participate in the Animals as Natural Therapy programs. I acknowledge the risks and potential for risks of horse and farm activities. However, I feel that the possible benefits to my child are greater than the risk assumed. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damages against Animals as Natural Therapy, Inc., its Board of Directors, Instructors, Therapists, Volunteers and/or Employees for any and all injuries and/or losses I/my child may sustain while participating in Animals as Natural Therapy programming.
Signature*
Date Signed*
Photo/Media Release
I hereby DO/DO NOT consent to and authorize the use and reproduction by Animals as Natural Therapy and their contracted services/funders of any and all photographs and any other audiovisual materials taken of my child for the benefit of the program. Uses may include ANT's public social media accounts, brochures/flyers, marketing & website, grant reporting & stakeholder communications, volunteer training & program documentation.*

YES, I do consent to and authorize media being publicly shared.NO, I do not consent to or authorize media being publicly shared.
Signature*
YES, I do consent to and authorize ANT staff to take photos of my child to be shared with family/guardians and promptly deleted from personal devices.NO, I do not consent to or authorize ANT staff to take photos of my child to be shared with family/guardians and promptly deleted from personal devices.
Signature*

Participant's Authorization for Emergency Medical Treatment

In the event emergency medical aid/treatment is required due to illness or injury during the process of receiving services, or while being on the property of the agency, I authorize Animals as Natural Therapy to secure and retain medical treatment and transportation if needed.
Emergency Contact 1:*
Emergency Contact 1 Phone Number:*
Emergency Contact 2:*
Emergency Contact 2 Phone Number:*
Name of Physician:
Phone Number of Physician:
Health Insurance:
Policy Number:
Preferred Medical Facility:
Consent Plan

This authorization includes x-ray, surgery, hospitalization, and medication and any treatment procedure deemed “lifesaving” by the physician. This provision will only be invoked if the guardian and emergency contacts are unable to be reached.
Signature
Date Signed

MonthDayYear
Date

Participant Medical History

Complete information is needed to ensure instructor awareness and sensitivity to your child’s behavior and needs, and will not be used to screen out participants.
Any known allergies:*
Date of last tetanus (if known):
What is your child's reaction to bee stings?*
Any prescription medications the youth will be taking during camp, or to be aware of in an emergency?*
Any health reasons to limit child’s activities at the farm?*
Dietary restrictions?
What goals do you have for your child's time at ANT?*

Equine Assisted Learning (EAL)
EAL is an experiential, skill-building modality that partners people with equines to grow and develop social-emotional skills, such as: building trust, focus & mindfulness, teamwork, reading body language, setting boundaries, clear communication, self-advocacy, and creative problem-solving.

Participants take part in structured horsemanship activities like leading, grooming, obstacle courses, and more, allowing participants to practice different behaviors and responses with real-time, non-judgmental feedback from their equine partner.

In EAL sessions, an instructor and volunteer adult mentor will help participants find a takeaway from their learning that they can apply to other areas of their life. We may also incorporate small animal activities with rabbits, goats, chickens, dogs, and cats. These sessions help participants build confidence, tools, & strategies needed to make healthy, helpful choices off the farm!
Please note: EAL is not clinical mental health therapy. Sessions will be led by PATH Intl. Certified Equine Professionals.
I understand that Summer Camp at Animals as Natural Therapy is not a clinical mental health therapy. I understand there are no therapists on site.*
Date*

MonthDayYear
Date

For Riding Purposes Only
Decisions regarding participation will be based on the availability of a suitable horse related to the height, weight, and balance of the participant. The maximum weight for participants for safe mounted activities at ANT is 220 pounds.

Each horse has individual weight limitations based upon the horse’s own weight, age and physical condition. Not all horses can manage the maximum weights listed below. The weight limit may be lowered as determined by available equines and the ability of staff and volunteers to safely support the participant at the time services are requested. ANT staff will evaluate the participant’s weight, balance, and physical abilities to determine if riding is a safe and appropriate activity based on available equines, staff and volunteers. All participant information will remain confidential.
Our weight limits for mounted activities are as follows:

• 220 lbs. for a well-balanced centered participant

• 150 lbs. for an unbalanced participant
Weight (for riding purposes only):
Non-Consent: I understand that if I choose not to disclose my/my child’s weight that I forgo the opportunity to ride if such an opportunity arises. *
Date

MonthDayYear
Date

Rain or Shine Policy

Animals as Natural Therapy programs operate rain or shine. In the case of inclement weather or natural disaster ANT staff will contact you at least 2 hours prior to your committed time to cancel.
I have read this policy and understand that I am committed to showing up for camp unless ANT has cancelled.*
Participant Financial Agreement
A $25 non-refundable application fee is due with your completed registration paperwork in order to reserve your participant's spot in camp. If you’ve already paid online, or your youth is attending camp with an outside agency, please disregard the deposit. This fee will be applied towards the total price of the camp.

Prices for ANT day camp are as follows: $775 for Full Day camp, $460 for Half Day camp.

Payment for all Day Camps must be made in full by June 1 to ensure your registration. Payment amount is per reservation and cannot be reduced if youth miss a portion of camp.

Please limit your camp purchases to one camp/camper. Spots are limited and we want to make sure we have availability for the community.
Cancellations and Refunds
We understand that life happens, regardless of best laid plans. We also know summer camps are put into action based on enrollment expectations. Refund amounts are based on how far in advance your cancellation is made.

*Specific refund requests may be made due to family or medical emergency.*

• 50% refund (excluding $25 application fee) before June 15, 2026

• No refunds after June 15, 2026 *Your non-refunded camp payment will be applied towards a scholarship for a youth in need.*
I have read this policy and understand that I am responsible for full payment of this account. *
Name of Guardian*

First NameLast Name
Date*

MonthDayYear
Date
Thank you for choosing Animals as Natural Therapy for a great week of Day Camp!

P.O. Box 31595, Bellingham, WA 98228 / www.animalsasnaturaltherapy.org / 360-671-3509 Questions? Email lindsey@animalsasnaturaltherapy.org
Should be Empty:

Day Camp Registration and Release 2026

Liability Release

Photo/Media Release

Participant's Authorization for Emergency Medical Treatment

Consent Plan

Participant Medical History

Participant Medical History

Participant Demographics

Equine Assisted Learning (EAL)

Please note: EAL is not clinical mental health therapy. Sessions will be led by PATH Intl. Certified Equine Professionals.

For Riding Purposes Only

Rain or Shine Policy

Participant Financial Agreement

Cancellations and Refunds

Thank you for choosing Animals as Natural Therapy for a great week of Day Camp!