Summer Camp 2019
Hillcrest Farm 2019 Summer Camp Online Registration Form
Email address *
Camper is attending *
Required
Parent Full Name *
Your answer
Phone Number *
Your answer
Home Address *
Your answer
Camper Full Name *
Your answer
Camper Is *
Camper Date Of Birth *
MM
/
DD
/
YYYY
Camper Height *
Your answer
Camper Weight *
Your answer
Camper Shirt Size *
Camper is a current HF student *
Camper has prior riding experience *
If Camper Has Prior Riding Experience, And Is Not A Current HF Student, Please Explain
Your answer
Camper Has Had Formal Lessons (English or Western) *
If Camper Has Had Prior Formal Lessons, And Is Not A Current HF Student, Please Explain
Your answer
Family Doctor (Name, Address, Phone Number) *
Your answer
Camper Allergies (Food, Medication, Bugs, etc.) *
Your answer
Actions Staff Needs To Take If Camper Is Exposed To Allergen
Your answer
Camper Swimming Strength *
Not Very Strong (Needs Floatation Aid)
Very Strong (Independent Swimmer)
If Camper Needs A Floating Aid When Swimming ("Wings" or a Life Vest), Please Specify Below
Your answer
Emergency Contact #1 (Name, Relationship, Phone Number) *
Your answer
Emergency Contact #2 (Name, Relationship, Phone Number) *
Your answer
Camper Plans To Arrive For Early Morning Drop Off (7:30 AM) *
Camper Plans To Stay For Late Afternoon Pick Up (5:30 PM) *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service