Winter Horse Camp Sign-up: December 28-30th
Thank you for your interest in our 2025 winter kids horse camp! Please take the time to fill out this form with your child's information. Once it is filled out we will contact you to ensure there is space available in the session you are interested in, and will send a payment link for the deposit of $200 + 3% credit card fee to ensure they are fully registered. If you wish to pay with cash or check, please know the registration is not complete until we receive payment.
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian's name *
Child's Name
 *
Child's Gender
 *
Child's Age
 *
Child's t-shirt size
 *
Please share any general information that you feel would help Palomino Pines in assisting your child during the program.
Camp Participant Health Information
I understand that if my child requires medication (prescription or over-the-counter) during the time that
he/she is under Palomino Pines supervision, I will provide the medication in the original container with
my child’s name, the name of the medication, any directions, and/or special precautions.
Does your child have any allergies?
 *
If yes, please explain. Include special precautions or treatment.
Does your child receive any regular medicines (prescription or over-the-counter)?
Does your child have any health problems or physical limitations that might restrict his or her activity at
camp, such as asthma, diabetes, hearing or vision losses, convulsive seizures, etc.?
Emergency Contact (please provide name, phone number & relationship to child)
 *
Primary Pickup (please provide name, phone number & relationship to child)
 *
Secondary Pickup (please provide name, phone number & relationship to child)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Palomino Pines LLC.

Does this form look suspicious? Report

Google Forms