4 Steps Horse Rescue Winter Camp Registration

4 Steps Horse Rescue Kids Camp Registration Form

These forms are required for your children to attend camp. 4 Steps Horse Rescue is operated and located at Crazy 8 Ranch
Camper's Information
Camper Name*
Nickname/Preferred Name
Age*
Date of Birth

MonthDayYear
Date
NOTE - Children need to be able to use the bathroom and change into their bathing suit on their own before they are eligible to participate in traditional day camp.
First Day at Camp

MonthDayYear
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*
Cell Phone*
Home Phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would you like to be reached while your child is at camp?*

Cell PhoneWork PhoneHome Phone
Parent Info

Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

Yes
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Work/School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would parent/guardian 2 like to be reached while your child is at camp?

Cell PhoneWork PhoneHome Phone
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. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number
Relationship to Child*
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Secondary Phone Number
Relationship to Child

Choose which date(s) your child will be attending camp.
December 2024

Thursday, December 26thFriday, December 27th
December 2024 / January 2025

Monday, December 30thThursday, January 2ndFriday, January 3rd
What Your Child Should Bring Every Day...

1. Long pants

2. Boots or closed toe shoes

3. Towel

4. Sunscreen

5. Bathing Suit

6. Bug Spray

7. Extra Change of Clothes and Shoes (including shorts and flip flops/sandals)

8. Snacks and drinks (other than water)

9. Refillable water bottle
PICKUP POLICY

Kids camp will start at 8:00 a.m. in the morning and end at 5:00 p.m. in the afternoon. If you will be any later than these times due to work schedule it must be prearranged minimum a week prior to the starting of kids camp.

ONLY PARENTS/GUARDIANS OR EMERGENCY CONTACT(S) ARE AUTHORIZED TO PICKUP CHILD UNLESS PARENT/GUARDIAN ARRANGES OTHERWISE PRIOR TO PICKUP TIME

If you are any later then 5:30 p.m. (even by a minute) for pickup there will be a $20 charge DUE AT PICKUP or child may not be allowed to attend again until paid.

If you are any later than 6:00 p.m. (even by a minute) for pickup there will be a $50 charge DUE AT PICKUP or child may not be allowed to attend again until paid.

DO NOT BE LATE

WE DO NOT HAVE VOLUNTEERS PAST ENDING TIME TO SUPERVISE CHILDREN.
SIGN HERE TO ACKNOWLEDGE YOU HAVE READ AND AGREE TO OUR PICKUP POLICY*

Clear

Payment and Statement of Understanding
Crazy 8 Ranch 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
Sign Document*
Date Signed

MonthDayYear
Date
Choose a payment option.

Cash- Pay on First dayCheck- Turn in a Week prior made out to Marcia DeCampCard- select how many days/weeks your child will be attending
My Products
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Kids Camp Full Week$350.00
5 weekdays from 8am - 5pm. Lunch included. You are responsible for providing snacks and drinks other than water.

Quantity

Kids Camp Full Day$75.00
Full day is 8am - 5pm, lunch included. Parent is responsible for snacks and drinks other than water.

Quantity

Card Fee$10.00

Total $0.00
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4 Steps Horse Rescue Kids Camp Registration Form

Camper's Information

Parents' Information

Parent Info

Emergency Contacts/Authorized Pickup

Medical / Health Information

Payment and Statement of Understanding