2026 Summer Horseback Riding Experience Registration Form

2026 Summer Horseback Riding Experience
Daily activities include: A mounted horseback riding lesson, horsemanship, barn management, games, arts & crafts.

Please bring: a snack, lunch, water bottle, and labeled riding gear (helmet, paddock boots, gloves), ankle length pants, sunscreen, and a change of clothes (shorts and sneakers), and a towel. Please note that flip-flops and open toed shoes are never allowed.

Open to riders entering 2nd grade through entering 12th grade
Rider's First & Last Name
Rider's Current Grade ('25-'26 school year)
Weeks 1-4

For riders currently enrolled in our lesson program

Monday through Friday, 9:00am-1:30pm

Multi-week Discounts Available!!

Single Week: $560

Any Two Weeks: $1100 Any Three Weeks: $1650 (Save $10/Week!)

All Four Weeks: $2140 (Save $25/week!)
Week 1: June 29-July 3Week 2: July 6-10Week 4: August 10-14
New Riders Week

Open to riders NOT currently enrolled in our lesson program, riders with no or little riding experience, or experience in other riding lesson programs. Open to riders who have previously joined us for a New Riders Week.

Open to kids entering 2nd through 12th grades

Monday - Thursday June 20 - 23 (No Camp on Friday 7/24)

9:00-1:30

Single Week: $535
New Riders Week: July 20-23
New Rider's Height*
New Rider's Weight*
New Rider's Horse Experience:
Please complete for ALL riders:
Parent's (or legal Guardian's) Name:

First NameLast Name
Cell Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact 1:

First NameLast Name
Emergency Contact 1 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2:

First NameLast Name
Emergency Contact 2 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Allergies:
YESNO
Medical information that is important for us to know, including any diagnoses (for mental health or physical health) your Rider may have:
A non-refundable deposit of $200 per week is due at the time of registration to hold your Rider's spot. No spot will be held without a deposit for each week.

The non-refundable balance is due on or before May 1st, 2026

Payments may be made by Venmo (Friends and Family ONLY) @Rebecca-Segaloff. Cash and Checks (made to Capstone Farm) may be either dropped at the farm or mailed to:

Rebecca Segaloff

2 Bucket Mill Ln., Walpole, MA 02081

**PLEASE DO NOT MAIL CHECKS TO THE FARM ADDRESS**

By completing and signing this form, you acknowledge that the deposit and balance payments are non-refundable.

Waivers and policies will be sent separately via DocuSign for riders not currently enrolled in our riding lesson program.
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2026 Summer Horseback Riding Experience

Weeks 1-4

For riders currently enrolled in our lesson program

New Riders Week

Please complete for ALL riders: