Summer Camp Registration
Registration for EEMV Summer Camp
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Parent Name *
Camper's Name *
Camper's Date of Birth *
MM
/
DD
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Phone Number *
Email *
Camper Height *
Camper Weight *
Have you participated with our program before?  *
If new, how did you hear about us? 
Which camp would you like to sign up for?  *
Required
Please list any horse experience the camper has *
Does the client have a diagnosis? If so, please list below *
Best way to contact me: 
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Camper t-shirt size *
If you are a returning client, have there been any changes to your contact information or medical information since your last full paperwork? This includes changes to height/weight, diagnosis, contact information, etc.  *
I have read the form and attest that all the information provided is accurate *
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