2025 Equine Professional Apprentice Application Form

Equine Professional Apprentice

Application Form
Name:*

First NameLast Name
MaleFemale
Birth Date*

MonthDayYear
Cell Phone or primary phone:*

Area CodePhone Number
Email NO
E-mail Address:*
Preferred method of communication? (text, email, call)
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Parent or Guardian:*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
EPA Session part I: June 23 - July 26, 2025Required Training week: July 21 - 26, 2025EPA Session part II: August 4 - August 22, 2025
Are there any dates you would need off during your session?
Do you have any conditions or limitations that will affect riding and working around horses? If yes, please explain:
References

DISCLAIMER:

Warm Beach Camp will not reach out directly to the people you listed as references in your application form. The reference forms are automatically sent to the email addresses you enter by our domain. Please, contact the people that you listed as your references, make sure they know you listed them as a reference, and that they receive the reference forms. The sooner they fill out the forms, the better it will be for your application process.
Yes
Please list one individual that is familiar with your Christian walk.

(Pastor, Mentor, Youth Pastor, Christian Group Leader)
Name of Christian Worker:*

First NameLast Name
E-mail Address:*
Email NO
example@example.com
Teacher, Coach or Recent Employer
Name of Teacher/Coach/Employer:*

First NameLast Name
E-mail Address:*
Email
example@example.com
Personal Friend
Name of a Personal Friend:*

First NameLast Name
E-mail Address:*
Email
example@example.com
Do you own a horse?
Do you currently take care of a horse on a daily basis?
What is your current level of riding? (Include CHA, USPC rating, or any other credential you think may apply)*
In the list below please indicate if you could "Organize and Teach", "Assist in Teaching" or "Slightly Familiar" for each category.
Stable Work
Jumping
Training Horses
Trail Riding
Western Riding
English Riding
Bible Study
Leading Songs
Do you play any musical instrument? If yes, what one(s)?
Please answer the following questions to help us get to know you better.
What is your “church home” and at what level do you participate?*
Tell us your story: A little information about you and how you came to Christ.*
Please explain your leadership experience: (Church, youth group, school, sports or clubs) *
What is your experience as a camper? (either here at Warm Beach or elsewhere)
Describe your work experience:
Why do you want to be a apart of Warm Beach Camp's Equine Professional Apprentice Program?*
Do you have any prescribed medications, allergies, reactions (bee stings, etc.) which the camp director/head counselor should know about? If yes, please explain:*
Applicant Disclosure Form

Pursuant to 486, Laws of 1987
Have you ever been convicted of any crimes against persons as defined in Section 1 of Chapter 486, Laws of 1987 and listed as follows: Aggravated murder, first or second degree murder; first or second degree kidnapping; first, second, or third degree assault; first, second, or third degree rape; first, second, or third degree statutory rape; first or second degree robbery; first degree arson; first degree burglary; first or second degree manslaughter; first or second degree extortion; indecent liberties; incest; vehicular homicide; first degree promoting prostitution; communication with a minor; unlawful imprisonment; simple assault; sexual exploitation of minors, first or second degree criminal mistreatment?
Yes or No? If Yes, please explain.
Have you ever been found in any dependency action under RCW 13.34.030(2)(b) to have sexually assaulted or exploited any minor or to have physically abused any minor?
Yes or No? If Yes, please explain.
Have you ever been found by a court in a domestic relations proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor?
Yes or No? If Yes, please explain.
Have you ever been found in a disciplinary board final decision to have sexually abused or exploited any minor or to have physically abused any minor?
Yes or No? If Yes, please explain.
Commitment of Applicant
I understand that an Equine Professional Apprentice is a camper and agree to abide by the regulations established for the program. I further understand that acceptance as an Apprentice means full participation in an organization program which will demand personal discipline.
Date*

MonthDayYear
Applicant's Name*

First NameLast Name
Applicant's Signature*

Clear
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Signature*

Clear
Should be Empty: