White Rose Equestrian Summer Camp Registration
Registration form for Summer Camp at White Rose Equestrian 2024
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Name of participant *
Age *
T-Shirt Size *
History of horse experience *
Date of camp *
Parent/Guardian's Name *
Phone Number *
Full Home Address *
Email *
Emergency Contact (1) Name and Phone Number *
Emergency Contact (2) Name and Phone Number *
Health Information. Does your child have any allergies?
Please give details of any other allergies
Camp Cost and Payment Structure: Each camp costs $435 per child. A non-refundable deposit of $200 per camper must be paid to reserve the registration. The balance of $235 per camper is due on the first day of camp. An invoice will be sent once this completed form is received. Your child's registration is not saved until the deposit is paid.  *
Your Child Will Need: - A bagged lunch and lots of water. - To wear long pants and sturdy shoes with a heel (no flip-flops or open toed shoes allowed in the barn). They may bring shorts to change into when not riding. - Generously apply sunscreen and send some with them. - We can provide helmets but encourage your child to bring their own to ensure a proper fit. 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.
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