JUNIOR HORSE CAMP
Intermediate/Advanced spaces avail only.
Sorry Note: No More Beginner OR Beg/Int Horses Spaces Available
Sorry No more spaces for Ages 7 and 8
Which camp will your child be attending? *
JHC Fees $170 Hiring/BYO $140 - Required prior to camp. $100 Deposit to be paid on registering. Balance Due 25th June.
First Name *
Last Name *
Gender
Clear selection
Date of Birth *
MM
/
DD
/
YYYY
Age *
Address *
Street Number
Address *
Street Name
Address *
Suburb
Address *
Town/City
Address *
Postcode
Parent/Guardian *
Name
Parent/Guardian *
Home Phone Number- Please include area code
Parent/Guardian *
Work Phone Number
Parent/Guardian *
Mobile Phone Number
Parent/Guardian *
Email Address
Emergency Contact Name *
Please provide details for a person we can contact should we not be able to contact you in the event of an emergency. We will require the contact's name, phone number, mobile number (if available) and their relationship to the child.
Emergency Contact *
Home Phone Number- Please include area code
Emergency Contact *
Mobile Phone Number
Any allergies your child has
ie. Food, Animal or Plant allergies
Any Medical conditions your child has
ie. Asthma, Diabetes
Any disabilities or behavioral conditions - please explain
Any medication your child needs during camp
Note: all medication including panadol and antihistamines will need to be handed in
Permission for Lakes Ranch to administer paracetamol, panadol or ibuprofen? *
Lakes Ranch may provide these medications if necessary for the comfort of your child
Does your child have any other needs we should be aware of?
Please specify
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