Pony Camp Registration June 7-9, 2024

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Three days of fun for horse crazy kids! Horsemanship taught with an emphasis on safety, lots of riding, fun and camaraderie. Ages 6 - 12. Camp Fee is $280. FRF horse lease fee $50 (contact Elizabeth for a horse lease). $50 deposit will hold your child's spot. Balance is due on closing date 5-31-24. Deposits are non-refundable unless your child's spot can be filled from the waiting list. Camp is limited to 10 riders so register early!

Child's Name *

Complete Home Address *

Child's Age *

Parent's Name(s) *

Phone Number (Just numbers - no dashes) *

Email address *

Do you have your own horse for camp? (If you check no, please contact Elizabeth about a lease) *

Yes

Does your child have any food allergies or special medical needs? Please list, if so. *

Child's T-shirt size *

Youth Small

Youth Medium

Youth Large

Youth XL

Adult Small

Adult Medium

Adult Large

Adult XL

A current Coggins is required for camp (within the past 12 months). Please list the date of your Coggins.

I understand that in the event of illness or injury to my horse, I will be notified. If a veterinarian is necessary I will be responsible for the cost of treatment. *

I agree.

My child is not bringing a horse to camp

We take pictures of camp and our campers and their ponies/horses for teaching purposed and to sometimes use for Fox Run Farm promotional purposes. If published, we will never post your child's last name for security reasons. We love our campers and do not want them ever placed at risk via the internet. Please indicate if you agree to have your child's picture taken and/or published in accordance with this agreement. *

I agree to allow my child's picture to be taken and only published within the above guidelines.

I do not want my child's picture taken during Pony Camp

All precautions will be taken to insure the safety of your child. Approved ATSM helmets and heeled boots are required whenever a child is mounted on a horse or pony. Our insurance requires that you agree that you understand the following release of liability:

WARNING: Under Kentucky law, a farm animal activity sponsor, farm animal professional, or other person does not have the duty to eliminate all risks of injury of participation in farm animal activities. There are inherent risks of injury that you voluntarily accept if you participate in farm animal activities.Failure to comply with the requirements concerning warning signs and notices provided in this section shall prevent a farm animal activity sponsor or farm animal professional from invoking the provisions of KRS247.401 to 247.4029.Nothing in KRS 247.402 to 247.2049 shall create a duty for a farm animal activity sponsor, farm animal professional, or other person to give a warning to a participant engaged in a farm animal activity with his own farm animal, or to a participant whom the farm animal activity, farm animal professional or other person knows to possess reasonable knowledge of or experience with the inherent risk of farm animal activities, or who has represented to the farm animal activity sponsor, farm animal professional, or other person that he possesses reasonable knowledge or experience with the inherent risks of farm animal activities.I understand that riding/showing horses is a high risk sport and I am participating (or allowing my child to participate) at my (his/her) own risk. I hereby assume this risk and release and hold harmless Fox Run Farm, Elizabeth Wallace, volunteers, farm staff, judges and officials from all liability for negligence resulting in accidents, death, damage, injury or illness to myself, my horse(s) or to my property during the above show/clinic/camp.

Checking this box indicates I understand and agree to the above warning/release of liability. I also agree to provide a copy of my child's insurance card when I bring them to camp to be used in case of a medical emergency.

Required

Upon completion of this form, please venmo (elizabeth-wallace-101) or mail your camp fee or deposit to Fox Run Farm, 220 S. Tanyard Rd., Cadiz, KY 42211. The camp fee is $280. FRF horse fee is $50 (contact Elizabeth for a horse lease). A $50 deposit will hold your spot and the balance of the camp fee is due on the camp closing date. We only have 10 spots for camp so register early! There is a list of items to bring to camp at www.foxrunfarm.net under Camps. We are excited your child is coming to camp!

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