Wake Robin Farm - 2024 Summer Camp Registration
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Email *
Camper's Name: *
Camper's Age: *
Camper's Height / Approx. Weight: *
Parent's Name: *
Parent's Contact Number: *
Camper's Address: *
Alternate Emergency Name + Number: *
Please check the camp week(s) for you wish to register:
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Please check any additional services you require:                                                                                                             
Please indicate total amount of camp fees due including helmet and before/after care services if required:
*
Please check the box that best describes your camper's previous riding experience: *
Required
Please add any additional relevant information in regards to your camper's riding experience:
Does your camp experience any fears or anxieties?
Does your camper have any medical conditions? If so, please describe:  Does your camp experience any fears or anxieties?
I hereby give my permission to use my or my minor child's likeness in photography for publications, promotional materials, website, media press releases and coverage, and any other such purposed on behalf of Wake Robin Farm.
*
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