Week 10 Dressage Equestrian Team Camp August 7 - 9, 2024
For riders entering 4th through 12th grade that plan to compete on our equestrian team.
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Email *
Camper's Last Name *
Camper's First Name *
Camper's Birthday *
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Camper's Age at Time of Camp *
Camper's Grade 2024-2025 *
Camper's Gender *
Summer Camp T-Shirt Size (included in the cost of camp) *
Please select the dressage division your rider plans to compete in for the 2024-25 season. *
Required
Payment Information *
Payment must be completed upon registration. Registrations that have been filled out but not paid by the end of each day will be deleted and the spot will be opened back up.

Checks should be made payable to Duzan Riding Academy. 

Zelle (info@duzanridingacademy or (614) 271-2732

Venmo (@duzanridingacademy / Molly Wirtz)
Parent 1 Name and Cell Number *
Parent 2 Name and Cell Number
Parent Email Address *
Home Address *
Emergency Contact 1 Name, Relationship, Phone Number *
(Other than parents. Parents will be contacted first in the event of an emergency.)
Emergency Contact 2 Name, Relationship, and Phone Number *
(Other than parents. Parents will be contacted first in the event of an emergency.)
Insurance Company and Policy Number *
Physician Name and Phone Number *
Dentist Name and Phone Number *
Preferred Hospital Name and Phone Number *
Allergies, Medical Conditions, Social/Behavioral Issues we should know about
Notes or Questions *
A copy of your responses will be emailed to the address you provided.
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