2025 Independent Rider Adventures Camp Application 

Get ready for some summer fun!

Independent Rider Adventures Camps - Designed for riders aged 8 and up who can independently steer and control their horses at the walk and trot in a group setting. These camps welcome neurodiversity and are specially designed for campers with mental health needs, focusing on improving social skills, but ALL neurotypes are considered for camp.  

Dates:

July 7-  July 11 --- 12:30pm-4:30pm

July 14- July 18 --- 12:30pm-4:30pm

July 21-July 25 --- 12:30pm-4:30pm

Location: The main campus of Glade Run Lutheran Services in Zelienople, Pa.

Activities: All Independent Rider Adventures Camps will include at least 45 minutes of riding time each day and over 3 1/2 hours per day of hands on time with the horses. Remaining time will be spent learning about other horse related topics (confirmation/horse parts, nutrition, lameness and first aid, competitive disciplines, working with horses)


For more information, call (724) 452-4453 ext. 1249  or email spingenot@gladerun.org


Sign in to Google to save your progress. Learn more
Email *
2024 Advanced campers having a blast cantering outside!
Camper's First Name *
Camper's Last Name *
Camper's home address
Where has your camper ridden prior to this camp?  If not Glade Run, please provide instructor's name and contact information  *
What horsemanship skills has your camper mastered? *
Required
Session Choice(s) *
Required
Camper's Date of Birth *
Camper's Weight *
Parents/Guardian Name(s) 
*
Parent/Guardian email address (if different than above)
Cell Phone Number(s) 
*
Emergency Contact (other than parent/guardian) 
Name, relationship and cell phone number
*
Please list any allergies or medical concerns for this camper. *

Does your child have seizures? 

*All campers with seizure precautions require medical history clearance from physician for mounted activities* 

*
What clinical diagnosis/es, if any, has this camper been given? *
Please describe this camper's behaviors (including any significant acting out, ritualistic, or self-stimulating behavior).     
*
Please share any concerns or other specific information that you feel will help the staff to better provide a beneficial experience for your camper in summer camp. 
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Glade Run Lutheran Services.

Does this form look suspicious? Report