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C-Camp Participant Registration Form
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* Indicates required question
Email
*
Your email
Camper name
*
Your answer
Pony Club/ Riding center
*
Your answer
What is you camp fees?
*
Midcal PC - $500
Non-MidCal Pony Club - $500
Non - Pony Club - $600
Choose your riding track
*
Eventing
Dressage
Show jumping
Dressage and Show jumping
Chaperone Information
Not Required if Rider is over 18 years old
Chaperone Name (not required if rider is 18+)
Your answer
Chaperone email address
Your answer
Chaperone Cell number
Your answer
Camper information
Camper Certification
*
Your answer
Camper Cell Number
*
Your answer
Camper Age (as of 6/16/2021)
*
Your answer
Camper DOB
*
MM
/
DD
/
YYYY
Camper Email Address
*
Your answer
Camper Address
*
Your answer
Camper Dietary Restrictions ( list all)
*
Your answer
Mount information
Name of Mount
*
Your answer
Age of mount
*
Your answer
Sex of Mount
*
Mare
Gelding
Stailion
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