Veterans Day Camp Registration 2019
Camp Date(s):
Monday, November 11th for under 6-14 years old | 8 am - 4 pm
 Cost $60/per child
Location: Reins of Rhythm (arena) 4035 McClays Mill Road, Shippensburg, PA 17257
Contact us at : Info@reinsofrhythm.org or message us via Facebook Facebook.com/ReinsofRhythm
Sign in to Google to save your progress. Learn more
Email *
Parent or Guardian Name *
Participant (Rider) Name *
Participant (Rider) Age *
Email *
Phone Number *
Street Address *
City *
State *
Zip Code *
In Case of Emergency Contact Name: *
In Case of Emergency Contact Number: *
Name of person picking child up from camp: *
Allergies ( If there are food allergies or sensitivities, please send a lunch & snack with your child)
Medical Concerns and/or Special Needs
Photo Release:I hereby consent to and authorize all photographs to be used in Reins of Rhythm Riding & Horsemanship publications, Reins of Rhythm social media outlets and/or websites. I also consent and authorize the use and reproduction of any photographs taken of me, or my son/daughter, or ward for promotional printed material or educational activities. *
Required
I Understand that I must submit all required uploaded or mailed as necessary) & that I must pre-pay to reserve day camp spot.  By selecting "YES" I agree that all of the above information is valid to the best of my knowledge & this will serve as my "e-signature" for the registration & release information. *
Required
Select Form of Payment (Payment required to hold spot. No refunds. Should VALID cancellation be needed refund will be in the form of a Reins of Rhythm gift certificate at same value) *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms