Name of Camper

First Name

Last Name

Name/Contact of Parent or Guardian

List name and phone number

List any allergens

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

Name and number of contact

Experience

List riding experience, if any and level

Camper needs horse provided

Yes, I need a horse provided

No, I have my own that I would like to bring to camp

Comments

Please, provide any additional information, including any medical concerns for camper.

T-shirt size

Select Camp Dates

June 17-20th

July 16-19th