Clone of Summer Camp July

Spring Break Camp Registration Form

These forms are required for your children to attend Camp.
Camper's Information
Camper Name
Nickname
Age
Camp Dates (Please choose one below)
If Single Day Pass Please select days
Email to send camp updates to
example@example.com

Parents' Information

Parent/Guardian 1
Parent/Guardian 1

First NameLast Name
Relationship to Child
Cell Phone
Format: (000) 000-0000.
Parent/Guardian 2

First NameLast Name
Relationship to Child
Cell Phone
Format: (000) 000-0000.

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you.
Emergency Contact Form
Full Name

First NameLast Name
Primary Phone Number
Format: (000) 000-0000.
Relationship to Child

Medical / Health Information
Date of Last Tetanus or Diphtheria, Tetanus, Pertussis (DTaP) Vaccine?

MonthDayYear
Does your child have any food, medication or environmental allergies?
Does your child’s allergy/allergies require child care staff to monitor child for symptoms, take action if a reaction occurs, or give emergency medication to your child?
Does your child have a special health or medical condition?
Please explain

0/150
Medication
Name of medication
Exact dosage
L&F Stables Farm has permission to secure emergency transportation for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.
Type first and last name above to consent

Payment and Statement of Understanding

My Products

One Day Of Camp

One day that offers hands-on learning about agriculture and horses, including daily horseback riding. The camp is designed for riders of all levels, from beginners to advanced, ages 5-13. Certified instructors will guide campers through a variety of activities, making this a rewarding and exciting experience.

$100.00 Quantity

Full 3-Day Camp

This fun yet structured camp offers hands-on learning about agriculture and horses, including daily horseback riding. The camp is designed for riders of all levels, from beginners to advanced, ages 5-13. Certified instructors will guide campers through a variety of activities, making this a rewarding and exciting experience.

$275.00 Quantity

Payment Plan Non-Refundable Deposit To Hold Spot for 3-Day Camp

$125 due at sign-up. $150 due 1 month before camp. Payment Plan Fee: $25. Camp Total with Payment Plan: $325. Please note this is non-refundable.

$125.00 Quantity

Total

Credit Card

Should be Empty:

Spring Break Camp Registration Form

Camper's Information

Parents' Information

Emergency Contacts/Authorized Pickup

Emergency Contact Form

Medical / Health Information

Medication

Payment and Statement of Understanding

My Products

Credit Card