2020 Summer Camp Registration
Week Seven: Intermediate Camp July 20-24

Please note that participants must be taking regular weekly lessons to participate in this camp. We welcome riders from other programs to join us for a week of camp! It helps to know where you ride so we know what type of experience your child is getting. We will not contact anyone from your current program if you are not a rider at DRA without asking for your permission.
Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Camper's Birthday *
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Camper's Age at Time of Camp *
Your answer
Camper's Gender *
Summer Camp T-Shirt Size (included in the cost of camp) *
Is there a friend your child would like to be paired with if possible?
Your answer
Do you need before or after camp care? *
What days and time do you need before camp care?
Before care is available 8:00-9:00, Monday-Friday. Please specify days of the week and times below.
Your answer
What days and time do you need after camp care?
After care is available 3:00-4:00, Monday-Thursday. Please specify days of the week and times below.
Your answer
Please describe your child's experience with horses. *
Required
Where does your child take regular weekly lessons? *
Your answer
What skills is your child comfortable with? *
Required
Payment Information *
Checks should be made payable to Duzan Riding Academy. You can mail payment to 14191 State Road, Ostrander, Ohio 43061.
Parent Names *
Your answer
Parent Email Address *
Your answer
Home Address *
Your answer
Parent Cell Phone *
Your answer
Parent Home Phone
Your answer
Parent Work Phone
Your answer
Emergency Contact 1 Name, Relationship, Phone Number *
Your answer
Emergency Contact 2 Name, Relationship, and Phone Number *
Your answer
Insurance Company and Policy Number *
Your answer
Physician Name and Phone Number *
Your answer
Dentist Name and Phone Number *
Your answer
Preferred Hospital Name and Phone Number *
Your answer
Allergies, Medical Conditions, Social/Behavioral Issues we should know about
Your answer
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