Camp Jumps For Joy! 2017 Summer Camp Application
Please fill out application below. Fields marked with * are required. To complete your registration process and reserve your spot, you must pay a $250 NON REFUNDABLE deposit. To pay with PayPal, which we offer online on our website, or by credit card, there is a 3% convenience fee for this service. If you prefer, you can mail your deposit to 3130 Alpine Road, Box 273, Portola Valley, CA 94028. Thank you for your interest in our very popular Summer Horsemanship Camps! We look forward to seeing you this summer. When finished with your application see links to appropriate web-pages above for payment of your deposit. If the camp you have chosen is full, your deposit will be returned. You can call 650-740-2261 for status.
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Age *
Your answer
Height *
Your answer
Parent 1 *
Your answer
Parent 1 Cell Phone *
Your answer
Parent 2 Name *
Your answer
Parent 2 Cell Phone *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Best Email Address *
Your answer
How did you hear about us? *
Alternate Emergency Contact Person *
Other than Parent. i.e., Grandparent, Aunt/Uncle, Nanny, etc.
Your answer
Alternate Emergency Contact Phone Number *
Your answer
Does your child take any medications or have any health concerns or alergies we should be aware of? *
Your answer
My Child has the following riding experience *
Regular Lessons means AT LEAST 1x per week
I have two or more siblings signing up *
Please sign my child up for before and aftercare option $250 *
Early drop off 7am, Late pick-up 5pm
Please sign my child up for *
SUMMER CAMPS 2017: Please sign my child up for the following camp(s) SPRING SESSION BELOW *
Please select ALL that apply.
If my first choice is not available, please sign me up for the following. *
Please select ALL that apply. If you are only available for your 1st choice, select it again in the category.
2017 SPRING CAMP: Please sign my child up for the following camp(s) *
I will be making my NON REFUNDABLE $250 Deposit to Complete My Registration with: *
When finished with your application, please go to appropriate page in main menu to make payment. Your spot cannot be guaranteed unless this payment is made within 24 hours of your application.
Please take a moment to fill-out this Optional Section.
It is intended for YOUR CHILD to fill-out. They can make candid comments which helps us design better camps for everyone!
My Name is
Your answer
I like riding
Regarding Jumping
When at Camp I want to spend time:
No Time
Some Time
I want time for everything
Most of the Time
The Entire Day
Learning Horsemanship: grooming, tacking-up!
Jumping the Kids' Mini Jump Course!
Doing Horsey Arts and Crafts!
Learning about clipping a horse!
Learning about braiding a horse!
Painting a horse!
Bathing a horse!
Around Horses I am comfortable:
Never done it!
Never Comfortable
Sometimes Comfortable
Mostly Comfortable
Always Comfortable
Brushing a horse
Putting your horse's saddle and bridle on?
Removing your horse's saddle and bridle?
Mounting a horse
Steering a horse
Posting the trot
Leading a horse
Free Choice Comments
Tell us something about horses or yourself that will help us make sure you have fun at camp
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms