Sizzling Summer Camp Registration
Sign in to Google to save your progress. Learn more
Age of rider *
Name of horse *
Name of parent *
Phone number of parent *
Email of parent *
Emergency contact 1 (Name and phone number) *
Emergency contact 2 (Name and phone number) *
Health information
Clear selection
Any other allergies, please state. *
Will your horse live in a pasture with other horses? *
Required
Camp Cost: $595 per child riding club member. $695 non riding club member. PayPal a non-refundable deposit for $295 per camper. Remainder of money is due on the first day of camp. *
Your Child Will Need: - Changes of clothes for riding and water play along with sleeping attire and towels. Beige riding pants and a white collared shirt for the presentation of the drill team. Sleeping bag or blankets. Sunscreen, toothbrush, and any medication needed. In the event of an emergency: By signing this form I understand that horseback riding and equestrian related activities can be dangerous. I hereby give permission for the above named child to be administered first aid by any camp personnel should the need arise. I also give permission for the above named child to be transported to a hospital chosen by any camp personnel, treated by a medical professional, given injections, medication, and/or anesthesia and/or surgery as deemed necessary. I agree to be responsible for any cost that may occur as a result of the above named child being treated for any medical condition. By typing your name and the date you acknowledge that you have read and agreed with the above statement. *
Parent/Guardians must also sign an Equine Activities Waiver which can be found on our website at: www.WhiteRoseEquestrian.com/forms. White Rose Equestrian, 1966 Magnolia Grove Road, Iron Station, NC 28080. For more information call: 704-559-9122. I have read the above information and agree to abide by it. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy