2023 Summer Camper Information
Camper Information Form
Sign in to Google to save your progress. Learn more
Email *
Camper Information
Camper's First & Last Name *
Camper's Age *
Camper's Date of Birth *
MM
/
DD
/
YYYY
Camp Week Registered For *
Required
Camper's Previous Horse Experience (If none, please write "none") *
Guardian & Contact Information
Primary Guardian's First & Last Name *
Primary Guardian's Email Address *
Primary Guardian's Phone Number *
Primary Address *
Secondary Contact's First & Last Name *
Secondary Contact's Phone Number *
Secondary Contact's Email Address *
Other Person(s) Allowed to Pick-up Camper *
Camper Participation Agreement
Participant agrees to the following: Camp starts at 9:00am and ends at 4:00pm (before and after childcare can be provided upon request), Each camp participant is expected to participate in barn chores associated with riding and caring for camp horses. This includes but may not be limited to: sweeping, filling and dumping water buckets, filling hay nets, mucking (cleaning stalls), cleaning equipment, grooming and bathing horses. ATTIRE: Wear long pants, shirt or polo shirts and boots with low heel while riding. NO riding in shorts, tennis shoes, or sandals. Closed toe shoes must be worn at ALL times in the barn and around animals – shoes may onlybe removed during water activities. Bring an extra set of clothing (this can be stored and left at camp all week unless used and in need of being replaced). Bring a bathing suit each day and towel. FOOD/DRINK: Bring lunch, snacks, and water daily – as much as the camper should need all day. Please note: we are a nut free farm, no nut products are allowed at camp. SAFETY: Respect safety rules indicated by instructors at ALL times (no running around horses, no standing behind horses, etc....please refer to ourlesson policy agreement for additional rules and policies). No fire, firearms, alcohol, or drugs permitted on premises. Sign a liability release form. Have a positive attitude towards horses, other campers, and instructors *
Required
Health Information
Is Camper Male or Female *
Camper's Height *
Camper's Weight *
Date of Camper's Last Tetanus Booster *
MM
/
DD
/
YYYY
Is the Camper currently on any Medications? (If Yes, please list them here with instructions if needed to take during camp hours. If No, simply put "No." *
Any allergic reactions to drugs/medication, insects, plants, animals, food...etc? Please list any and all known allergies. If None, put "None". *
Any specific health needs or diet restrictions our staff needs to be aware of? *
Emergency Policy Agreement
In case of emergency, I understand that every effort will be made to contact me. However, if I cannot be reached, I hereby give permission to the physician selected by employees of Horse & Hive to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for my child named above. Be sure to check in on the first day with the camp instructor and exchange contact information so that both parties can reach one another if in need. *
Digital Media Release Waiver 
I hereby grant the Horse & Hive Farm permission to use my or my childs likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

*Please be aware that Horse & Hive never posts names or other identifiable information when using digital media in any form unless we have previous permission from the subject(s).*
 *
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
Google Forms