Winter 'Own-A-Horse' Camp Registration
Email address *
First & Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Parents/Guardian Name(s) *
Your answer
Cell Phone *
Your answer
Home Phone
Your answer
Home Address *
Your answer
How did you hear about Legacy Stables?
Your answer
Emergency & Medical Info
Emergency Contact Name (if same as above, type 'N/A') *
Your answer
Relationship to Student *
Your answer
Emergency Contact Phone(s) *
Your answer
Preferred Hospital *
Your answer
Allergies *
Your answer
Current Medications *
Your answer
Medical Conditions (if applicable) *
Your answer
Emergency Medical Treatment Consent
In the event that medical aid is required due to illness or injury while participating in activities at Karin's Horse Connection & Legacy Stables, I give my permission and consent for medical treatment. *
Required
Photo Release
I give my permission to Legacy Stables/Karin's Horse Connection to use my and/or my child's photo and/or videotaping and/or artwork for use in general information, promotional materials, Youtube, Facebook and any other marketing activities. *
Session Registration
Preferred Dates (minimum of 3 participants per session. We reserve the right to combine sessions if minimum is not met). *
Required
Costs & Payment
$50 per session, per day
$100 for both sessions, per day
$240 for one session, for 5 days
$480 for both sessions, for 5 days
Please select a payment option: *
Notes
Your answer
Release of Liability
A Release of Liability form will need to be filled out at the stable on the first day of camp. If someone other than a parent or guardian is bringing your child, you can download the form off the 'Own-A-Horse' Camp page on our website and fill it out ahead of time.
What to bring/wear:
-Long Pants and Close-toed shoes
-Dress for the weather - LOTS of layers and snow gear
-Bring a snack and water bottle
-If staying all day for both sessions, bring a sack lunch
A copy of your responses will be emailed to the address you provided.
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