2018 Hillcrest Summer Camp Registration
Hillcrest Farm 2018 Summer Camp Online Registration Form
Email address *
Camp(s) Camper Is Attending *
Required
Parent Full Name *
Your answer
Parent Phone Number *
Your answer
Home Address *
Your answer
Camper Full Name *
Your answer
Camper Gender *
Camper Age *
Your answer
Camper Date Of Birth *
MM
/
DD
/
YYYY
Camper Height *
Your answer
Camper Weight *
Your answer
Is Camper A Current Student At Hillcrest Farm? *
Has The Camper Had Prior Riding Experience? *
If Camper Has Had Prior Riding Experience, Please Describe Below:
Your answer
Has The Camper Ever Had A Formal Riding Lesson (English or Western)? *
If Camper Has Had A Formal Riding Lesson, Please Explain Below:
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 Floating Aid)
Very Strong (Independent)
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) *
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