Summer Camp 2020 Registration
Please complete a separate registration for each camper and/or CIT you are registering
This registration is for a: *
Required
I am registering for *
Required
Camper/CIT Name *
Your answer
Address *
Your answer
Person Responsible for Payment *
Your answer
Person Responsible for Payment Contact # *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian E-mail *
Your answer
Emergency Contact *
Your answer
Emergency Contact Mobile # *
Your answer
Camper/CIT Birthday *
MM
/
DD
/
YYYY
Camper Height *
Your answer
Camper/CIT Weight *
At this time, Thorncroft is unable to accomodate students over 200lbs
Your answer
Camper/CIT Allergies
Therapeutic Horseback Riding, Inc. staff, personnel, and volunteers are not authorized to administer medications including, but not limited to, epinephrine injections and bronchodilators. Medications may only be administered by the participating individual, guardian, or caretaker.
Your answer
Riding Ability *
Required
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