Echo Farm Summer Camp Registration Form
Please complete all required information below. Please mail or drop off cash or check payment and signed release form once camp form is filled out.
Camper's Full Name
*
First Name
Last Name
Camper's Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please select the week(s) your child will attend camp - $575 per week
*
Week 2 (July 13-17)
Week 3 (July 20-24)
Week 4 (July 27-31)
Does the camper have any allergies or medical conditions? If yes, please specify.
*
Camper's Shirt Size (in kid's sizes)
*
Select a shirt size
XS
S
M
L
XL
XXL
Please describe any previous riding experience of the camper
Additional Notes or Special Instructions (optional)
Register
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