Summer Camp Preparation
Please complete this form in preparation for your campers week at Conestogo River Horseback Adventures
Parent First Name *
Parent Last Name *
Primary contact phone number *
Camper Name(s) *
Have you filled out and signed our waiver? *
Which camp is your camper(s) attending?
Which week(s) of camp is your camper attending? *
Is your camper attending camp with any friends, or other campers that you may share a social circle with? *
If yes, what is the fist and last name of the camper(s)
What is your camper's experience with horses? *
Do you require early care or after care for any days this week? *
Early care is 8:15- 9:00 am, and after care is 4:00- 4:45 pm, this service comes at an additional fee. We are trying to reduce the number of campers that require this service due to COVID- 19. If you require special arrangements please contact the office at, or call us at 519- 888-6503, and we can help you make a plan.
Please create a password to be used when picking up your camper(s) in the afternoon *
When a designated guardian arrives to pick up a camper at the end of the day they will be required to present the password in order to leave with the camper. Password should be one single word.
Will you be wanting tuck for your camper? *
**The tuck that will be available will come from the store individually wrapped, cash will be used on the first day to create and "account" for each camper**
Is there anything else that we should know before camp starts?
COVID- 19 screening
Please answer the following questions for the immediate household and the camper(s) that you are bringing this week
Have you, or anyone in your family, tested positive for COVID- 19, or had close contact with a confirmed case of COVID- 19 *
Are you waiting for results of a COVID- 19 test? *
Have you been in close contact with anyone with acute respiratory illness or who has travelled outside of Ontario in the past 14 days?
Clear selection
Have you travelled outside of Ontario in the past 14 days
Clear selection
Does anyone in the immediate household have any of the following symptoms?
Dry cough
Shortness of breath
Difficulty breathing
Sore throat
Difficulty Swallowing
Decreased or loss of sense of taste or smell
Unexpected fatigue, malaise, muscle aches
Nausea/ vomiting, diarrhea, abdominal pain
Runny nose/ nasal congestion without other known cause
Clear selection
Has your camper, or anyone your camper been in contact with, had any positive lice screenings recently? *
If unsure please perform an at home check. Instructions:
I verify the information I have provided on this form is truthful and accurate. *
Name and Relationship with camper (Guardians to sign for minors)
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