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Session 3 - Camp registration: July 5-8, 2022
Dates/Times: Tuesday - Friday, July 5 - 8, 2022, 9 am - 2 pm
Camp Address: 13262 S Leland Rd, Oregon City, OR
Contact us at (503)314-5607 or
fallscreekstables@gmail.com
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* Indicates required question
Camper's Name (First and Last)
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Your answer
Email
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Your answer
Phone Number(s) (please note whether we may text this number with camp information)
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Your answer
Address
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Grade in school (upcoming Fall)
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Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Required
School Attending
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Your answer
Any Allergies? (If yes, please list how we can accommodate this best)
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Your answer
Dietary restrictions
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None
Vegetarian
Vegan
Kosher
Gluten-free
No Sugar Allowed
Other:
Camper's Prior Horse Experience
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Your answer
Do you authorize Falls Creek Stables to take photos with your child in them for social media and/or marketing purposes? (Note: names will not be attached if photo used)
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Yes
No
Any Physical or Mental Special Needs or Medical Conditions (If yes, please list what we can do to help accommodate the special needs)
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Your answer
In case of emergency, do you authorize Falls Creek Stables representatives or staff to request medical care for your child if necessary?
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Yes
No
I understand that in addition to this Registration Form, I must also: 1) complete a Release of Liability and Waiver and 2) make a deposit of $180 via Venmo, Zelle, or PayPal.
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Yes
Other:
I am the parent/guardian of the above-registered camper and represent that all of the above is accurate and true to the best of my knowledge. (Please type your name below as your signature)
*
Your answer
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